The relationships and supports that matter to children looked after (CLA) in long term voluntary accommodation (Children Act 1989, s 20)

The overall aim of this practitioner-led research project was to explore relationships and conceptualisations of ‘permanence in foster care’ from the young person’s perspective. A multidimensional conceptualisation of permanence, with a focus on supportive networks, was used to identify the relationships that a group of looked after young people viewed as significant to them and to explore which relationship groups they accessed for social support. Participants were a convenience sample of six (two male, four female) young people (aged 13 – 16) who were voluntarily accommodated (Children Act 1989, s.20) in the long term care of the local authority. Four participants were living with foster carers and two were in residential homes. Participants constructed a personal network map, placing themselves at the centre of a concentric circles diagram and the names of the people in their support network in the surrounding circles. To ascertain participants’ perceptions of who provides what type of support, they were asked how they would respond in three scenarios that were designed to elicit specific measures of social support (affective support, self-affirmation, and instrumental assistance). The results showed that the young people considered a wide variety of relationships as important to them and were able to utilise a range of relationships as sources of social support. Significantly, despite their physical absence, sibling relationships were unanimously viewed as important and appeared to hold the potential to provide much support. This research suggests the potential value in moving beyond physical conceptualisations of permanence and instead adopting a systemic relationships-based approach, which recognises a young person’s entire social network. Recommendations for practice include providing support to strengthen all significant relationships, regardless of their physical presence. This research project hopes to highlight the potentially unique needs of voluntarily accommodated young people. The discussion suggests the importance of reinforcing the implementation of voluntary accommodation as it was intended, as “support for children and families” (Children Act 1989, part 3)

Is Collagenase Clostridium Histolyticum a Safe and Effective Treatment for Adult Patients with Dupuytren’s Contracture?

OBJECTIVE: The objective of this selective EBM review is to determine whether or not collagenase clostridium histolyticum is a safe and effective treatment for adult patients with Dupuytren’s contracture. STUDY DESIGN: Review of two double-blind, placebo-controlled randomized controlled trials and one cross-sectional study. All of these studies are published in English between 2009-2013. DATA SOURCES: Two double-blind, placebo-controlled randomized controlled trials and one cross-sectional study found using PubMed. OUTCOMES MEASURED: Each randomized controlled trial measured the ability to meet the primary end point and all secondary endpoints, percent decrease in degree of contracture, increase in range of motion, patient satisfaction, and recording of adverse events which played a significant role in patient quality of life. RESULTS: Hurst et al and Gilpin et al showed a significant increase in range of motion and decrease in the flexion contracture after the use of collagenase clostridium histolyticum compared to the placebo. The NNT for Hurst et al was 2 while the NNT for Gilpin et al was 3. There were significantly more adverse effects in the collagenase group than placebo group such as contusion and injection site hemorrhage or pain. Hay et al found surgery was made more difficult in 4 out of 15 (26.7%) cases compared to the other 11 out of 15 (73.3%) cases in which surgery was not made more difficult. CONCLUSIONS: Based on these three studies, collagenase clostridium histolyticum is a safe and effective treatment for adults with Dupuytren’s contracture. The studies exhibited significant improvement in range of motion and decreasing the flexion contractures involved in Dupuytren’s

Providing Adapted Care for Patients with Immune-mediated Mucous Membrane Conditions.

PosterBackground: Immune-mediated diseases frequently manifest in the oral mucosa, which may be the first clinical sign for many patients. Some of these diseases present in ways that are pathognomonic (specific) for the condition; however, others have signs and symptoms that may appear very similar to systemic conditions unrelated to immune-mediated diseases. Thus, differential diagnosis can prove difficult. This case study examines a 50-year-old African-American female with co-diagnoses of Lichen Planus and Mucous Membrane Pemphigoid. These immune-mediated diseases affect the oral mucosa, causing the patient pain and burning sensations within the mouth. The symptoms associated with these conditions make maintenance of good oral hygiene difficult for the patient. Objectives: The objective of this case study was to explore Mucous Membrane Pemphigoid and Lichen Planus: the clinical and histological presentations, the implications for dental treatment, and the best proven therapies for management. Methods utilized during treatment will be presented. Methods: The patient presented to the IU School of Dentistry Dental Hygiene Clinic for routine periodontal maintenance and examination. The sensitive nature of the patient’s oral mucosa due to Lichen Planus and Mucous Membrane Pemphigoid required employment of alternative methods to routine dental care. Modifications to the patient’s diet and home oral care routines were suggested. Conclusion: Oral health providers should be conscious of the clinical manifestations of Lichen Planus and Mucous Membrane Pemphigoid, in addition to and differentiated from other oral conditions. Likewise, providers should be adept at altering routine dental care methods to accommodate patients with these and other immune-mediated conditions. If clinical treatment and oral care are administered properly, the patient should experience alleviated symptoms and suffer less discomfort and sensitivity on a day-to-day basis and during dental assessment and treatment

Food accessibility related to the Double Your Dollar Program

The Double Your Dollar (DYD) Program is a program that gives Supplemental Nutrition Assistance Program (SNAP) beneficiaries and Senior Farmers Market Nutrition Program (SFMNP) participants match dollars to spend at local farmers markets. The DYD’s goal is to incentivize healthy eating among individuals of low income and promote spending at farmers markets. Food insecurity affects over 60,000 individuals in Washington and Benton counties in Arkansas. The aim of this study was to assess how the DYD program impacted users’ food accessibility and how the program could be improved for the future. A survey was used to address basic demographics, type, frequency, and change of food purchases, and customer shopping patterns. Eighty DYD users were surveyed at farmers markets in Washington and Benton counties. The results indicated that the vast majority of current DYD users had increased purchases of fresh fruits and vegetables, which is a marker for improved nutritional status. The main motivations for shopping at the farmers market included the ability to buy fresh, healthy, and quality foods. This study indicates that food assistance programs such as DYD could be replicated throughout the country to improve local food accessibility and, as a result, potentially improve nutritional status among individuals of low income. Future studies should assess the awareness of the program within the community since this study only assessed those already participating

American Protestant influence in the Balkans, 1918-1939

Thesis (B.A.) in History -- University of Illinois at Urbana-Champaign, 1990.Includes bibliographical references.Microfiche of typescript. [Urbana, Ill.]: Photographic Services, University of Illinois, U of I Library, [1990]. 2 microfiches (72 frames): negative.s 1990 ilu n

Deciding what is news now : the internet's impact on local television news editorial decision process

This study examines the impact of the Internet on the decision making process of story selection for television newscasts. Those newscasts have a predetermined length of time to them therefore limiting the number of stories that can be chosen for the broadcast. The newsroom employees responsible for selecting those stories have the ability to see if a story or topic is popular with their online audience by using their station's website analytics or social media platforms. The online popularity information plays a role in story selection, but the researcher found how that information is utilized varied from newsroom to newsroom. To investigate the impact of the Internet on the story selection process, interviews were conducted with multiple newsroom managers of different size markets nationwide. Their response indicated online popularity is used during the editorial decision-making process but how it was used and how often it was not consistent to the group neither as a collective unit nor among small, medium, or large market sizes. The study also found while online popularity is used during the story selection process, the more traditional news value judgment is used when determining the lead story of a newscast

The Privacy Librarian is In! How Privacy Issues Affect Researchers and Libraries

Faced with an increasingly complex online environment through which libraries provide access to scholarly resources, librarians have found it difficult to educate users in protecting their personal information and online behaviors from inappropriate and sometimes unauthorized use while promoting the personalization services that users find beneficial. Modeled after the long-running Peanuts cartoon with Lucy offering advice for 5 cents, a panel composed of librarians, a vendor, and a publisher convened an interactive session that tackled key privacy issues in the researcher, vendor, and library framework. It began with the “Privacy Librarian” training a new library employee while a stream of patrons asked them privacy-related questions and research scenarios. After this tour through privacy issues, the panel highlighted the context in which these patron questions existed. Topics included privacy considerations in complex authentication schemas, website tracking, browser security, campus surveillance, and data privacy in third-party vendor accounts

Journals and jottings on entrepreneurial learning journeys.

Review of relevant literature highlighted that entrepreneurs need help to reflect on, and make sense of, the challenges and opportunities that occur during the entrepreneurial process. For students who are unfamiliar with the entrepreneurial process, the notion of reflection can be even more daunting. The project outlined in this paper was set up to explore the design and development of learning resources to help students make sense of the complexities of an entrepreneur's learning environment, and to develop effective reflection habits as a means to improving their own entrepreneurial practice. A guided approach to reflective practice was devised for students for use as they enact the entrepreneurial process during their venture creation projects. Although a full evaluation of the project is not yet complete, initial results indicate that students are finding the approach helpful, their fluency in reflection is increased and their understanding of the value of 'chewing over' entrepreneurial challenges and opportunities has grown. The breadth and depth of their learning environment seems to be clearer to them, and the importance of developing the habit of reflection is taken on board. Wider application of the project outcomes and outputs is envisaged among nascent entrepreneurs in mentoring / business advisory contexts.;\\$aEntrepreneurship education; Experiential learning; Informal learning; Incidental learning; Professional development; Learning journal; Reflective practice; Enactmen