Child mental health literacy training programmes for professionals in contact with children: A systematic review

AIMS: There has been a surge in child mental health literacy training programmes for non-mental health professionals. No previous review has examined the effectiveness of child mental literacy training on all professionals in contact with children. METHODS: Studies were identified through a systematic literature search of the Cochrane, EMBASE, Medline, and PsycINFO databases in February 2019. The review included studies that delivered training to professionals who have regular contact with young people aged 0 to 19 in the context of their role and at least one component of mental health literacy; (a) knowledge, (b) attitudes, (c) confidence in helping, (d) intention to help and (e) actual helping behaviour. The quality of papers was reviewed using the Cochrane revised Risk of Bias Tool for randomized controlled trials (RCTs) and the Integrated Quality Criteria for the Review of Multiple Study Designs for non RCTs. RESULTS: Twenty-one studies met eligibility criteria (n = 3243). There was some evidence that global and specific child mental health literacy training improved professionals' knowledge and stigma-related attitudes towards mental health. Few studies investigated the impact of training on actual helping behaviour. CONCLUSION: There may be value in providing child mental health literacy training to professionals in contact with children, however there is a need for studies to evaluate the long-term impact of such training, particularly on subsequent access to appropriate support. Findings raise concerns about the quality of the studies reported in the systematic review and recommendations are made for future studies

A Randomized Controlled Trial Evaluating the Effectiveness of Face-to-Face and Digital Training in Improving Child Mental Health Literacy Rates in Frontline Pediatric Hospital Staff

Background: Children with chronic physical health conditions are up to six times more likely to develop a mental health condition than their physically well peers. Frontline pediatric hospital staff are in a good position to identify mental health problems and facilitate appropriate support for patients. To date, no evaluation of mental health literacy training has taken place with this professional group to enable early identification of difficulties. It is also not known whether face-to-face or digital training is more effective or preferable in this setting. To improve the skills of frontline hospital staff, a face-to-face and digital mental health literacy training course was delivered using MindEd content and evaluated in a randomized controlled trial. / Method: Two-hundred and three frontline staff across different professions from a tertiary pediatric hospital were randomized to a face-to-face (n = 64), digital (n = 71), or waitlist control group (n = 68). Face-to-face training was two and a half hours and digital training took ~1 h. The effects of training were evaluated pre- and post-training and at two-week follow-up. Questionnaires assessed mental health knowledge, stigma, confidence in recognizing concerns and knowing what to do, actual helping behavior, as well as training delivery preference, completion rate, and satisfaction. / Results: Both face-to-face and digital training increased mental health knowledge, confidence in recognizing mental health problems and knowing what to do compared to waitlist controls. Digital training increased actual helping behavior relative to the waitlist controls and stigma decreased across all groups. Staff were satisfied with both delivery methods but preferred face-to-face training. / Conclusions: The results provide promising findings that digital content is an effective way of improving mental health literacy in frontline pediatric hospital staff. Providing digital training could be a time-efficient way of upskilling non-mental health professionals to identify mental health needs in a pediatric population and facilitate access to appropriate care

Effect of drying on Cyromazine Loss from Surface-Applied Caged-Layer Manure

In Arkansas, much of the environmental concern related to water quality has focused on the high volume of poultry fecal waste spread on the surf ace of local pastures to fertilize forage grass. Cyromazine (N-cyclopropyl-1,3,5-triazine-2,4,6- triamine), a feed-through larvicide used to control house flies (Musca domestica), is often a component of caged-layer manure. Cyromazine is quite soluble and stable in water, and previous research has shown that it can be readily washed from pasture plots by intense rainfall. Therefore, a study was conducted to evaluate increased drying time as a best management practice technique for reducing cyromazine runoff losses from pasture fertilized with caged-layer manure. The objective of this study was to compare cyromaz ine runoff losses from plots with different drying intervals between the manure application and first rainfall event. Fescue plots with uniform slope and dimensions were used to simulate pasture. Each plot had a runoff collector and borders to isolate plot runoff. Manure was analyzed for cyromazine content, applied to the plot surface at 3. 76 Mg/ha, and allowed to dry for 1 or 7 days. Simulated rain was then applied at 50 mm/h to generate 30 min of runoff from each plot. Plots with manure that dried for 7 days had significantly less runoff than both the control plots that dried for 7 days and manure plots that dried for only 1 day. Analyses of runoff samples indicated that increased drying time following manure application reduced the amount of surf ace runoff and reduced the concentration of cyromazine in the runoff. The resulting decrease in cyromazine runoff loss implies that increased drying time may serve as an effective best management practice for reducing cyromazine losses in runoff from pastures fertilized with caged-layer manure

Measuring competence in systemic practice: development of the ‘systemic family practice – systemic competency scale’ (SPS)

Ensuring that practitioners are competent in the therapies they deliver is important for training, therapeutic outcomes and ethical practice. The development of the Systemic Practice Scale (SPS) is reported - a measure to assess the competence of novice systemic practitioners trialed by Children and Young Person’s Improving Access to Psychological Therapies (CYP-IAPT) training courses. Initial reliability assessment of the SPS with twenty-eight supervisors of systemic practice evaluating students’ competence using an online recording of a family therapy session is detailed. The SPS was found to be a reliable measure of systemic competence across training settings. Rating variability was noted, with training and benchmarking to improve rating consistency recommended. Further research using the SPS to further establish the reliability and validity of the scale is required

Penghilangan Interferensi Fe dan Mn dengan Ekstraksi Pelarut pada Penentuan Co dan Cu dalam Pirolusit Menggunakan Spektrometri Serapan Atom

Research on the removal of Fe and Mn interference by solvent extraction on the determination of Co and Cu in pyrolusite using atomic absorption spectrometry with an air-acetylene flame have been investigated. Dissolution of pyrolusite sample was done by wet destruction method with solution of aqua regia and HF in the ratio of 3:4 (v/v). Interference studies were carried out for the absorbance of Co and Cu with the addition of iron and manganese in the concentration range 100-1000 ug/mL for iron and 100-5000 ug/mL for manganese measured at the wavelength 240.7 nm and slit width 0.2 nm for Co and wavelength 324.7 nm and slit width 0.7 nm for Cu.The results showed that Fe at concentrations of 100-1000 ug/mL and Mn at the concentrations of 100­5000 ug/mL could interfere the absorbance of Co and Cu, i.e. increase the absorbance of Co and decrease the absorbance of Cu. The interference of Fe can be overcome by solvent extraction with methyl isobutyl ketone in 7 M HCl medium. The interference of Mn can be overcome by masking with 0.10 M EDTA, then Co and Cu were extracted into chloroform by complexing them with sodium diethyldithiocarbamate at pH 2. The content of Fe and Mn in the pyrolusite measured by AAS were 67.35±0.61 mg/g and 545.00±6.25 mg/g, respectively. The content of Co and Cu before extraction were 773.33±25.17 ug/g and 2166.67±101.04 ug/g, respectively and after extraction were 487.18±11.10 ug/g and 2733.33±80.36 ug/g, respectively. These results have high precision with relative standard deviation (RSD) value of each elements less than 5%

Correlating Soil Test Phosphorus Losses in Runoff

Phosphorus in agricultural runoff is often a major cause of accelerated eutrophication of lakes and streams. Previous research has indicated that the amount of dissolved P (DP) in runoff is directly related to P content of the surface soil. Decades of fertilizer application at rates exceeding those of crop uptake have elevated soil test P (STP) levels in areas of intensive crop and livestock production, making this the major source of DP loss in runoff. The objective of our experiment was to relate STP content of Captina silt loam to P concentration and loss in runoff, and determine which STP method correlates best to P levels in runoff. The 57 grass plots used in this study had a wide range of STP levels. A representative soil sample was composited from the 0-2 cm depth of each plot, and STP content was determined by Mehlich III, distilled water, and iron oxide paper strip extraction methods. Simulated rain was applied at 100 mm h-1. Runoff samples were filtered and analyzed for DP content. Regression methods showed STP (regardless of extraction method) was directly related to runoff DP, but extractions with distilled water or iron oxide paper strips gave results that correlated most closely with runoff DP concentrations. Because plot runoff totals were highly variable, total DP load did not correlate well with STP

Anxiety in children attending a specialist inherited cardiac arrhythmia clinic: a questionnaire study

Objectives: Inherited cardiac arrhythmia syndromes are life-threatening conditions. There is a paucity of research examining the psychological impact of these conditions in children. This study had three main aims. The first was to explore how the Cardiac Anxiety Questionnaire (CAQ) performs in a child population. The second aim was to compare the level of anxiety of children with an inherited cardiac arrhythmia syndrome and children being screened due to a family history of an inherited cardiac arrhythmia syndrome to control children. The third aim was to examine associations between a sudden cardiac death in the immediate family and levels of anxiety. Method: 47 children with an inherited cardiac arrhythmia syndrome, 78 children with a family history and 75 control children completed the Revised Child Anxiety and Depression Scale (RCADS), the Cardiac Anxiety Questionnaire for Children (CAQ-C) and the Childhood Anxiety Sensitivity Index. Children were between the age of 8 and 16 years. Results: The study found the CAQ-C had promising psychometric properties. There were no significant differences in total anxiety scores (as measured by the RCADS) between the three groups. There were significant differences in cardiac-focused anxiety scores between the three groups. Conclusions: The CAQ has promising psychometric properties in a child population. However, further research is needed. Children attending specialist inherited cardiac arrhythmia clinics should be targeted for routine psychological screening and offered psychological intervention where necessary

Are lay people good at recognising the symptoms of schizophrenia?

©2013 Erritty, Wydell. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.This article has been made available through the Brunel Open Access Publishing Fund.Aim: The aim of this study was to explore the general public’s perception of schizophrenia symptoms and the need to seekhelp for symptoms. The recognition (or ‘labelling’) of schizophrenia symptoms, help-seeking behaviours and public awareness of schizophrenia have been suggested as potentially important factors relating to untreated psychosis. Method: Participants were asked to rate to what extent they believe vignettes describing classic symptoms (positive and negative) of schizophrenia indicate mental illness. They were also asked if the individuals depicted in the vignettes required help or treatment and asked to suggest what kind of help or treatment. Results: Only three positive symptoms (i.e., Hallucinatory behaviour, Unusual thought content and Suspiciousness) of schizophrenia were reasonably well perceived (above 70%) as indicating mental illness more than the other positive or negative symptoms. Even when the participants recognised that the symptoms indicated mental illness, not everyone recommended professional help. Conclusion: There may be a need to improve public awareness of schizophrenia and psychosis symptoms, particularly regarding an awareness of the importance of early intervention for psychosis

Ion-Collision Emission Excitation Cross Sections for Xenon Electric Thruster Plasmas

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/76738/1/AIAA-33657-821.pd

A framework for monitoring the safety of water services: from measurements to security

The sustainable developments goals (SDGs) introduced monitoring of drinking water quality to the international development agenda. At present, Escherichia coli are the primary measure by which we evaluate the safety of drinking water from an infectious disease perspective. Here, we propose and apply a framework to reflect on the purposes of and approaches to monitoring drinking water safety. To deliver SDG 6.1, universal access to safe drinking water, a new approach to monitoring is needed. At present, we rely heavily on single measures of E. coli contamination to meet a normative definition of safety. Achieving and sustaining universal access to safe drinking water will require monitoring that can inform decision making on whether services are managed to ensure safety and security of access