Say Au Revoir, But Not Good-Bye.

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Transcriptional regulation of copper metabolism genes in the liver of fetal and neonatal control and iron-deficient rats

Acknowledgments The authors’ work is supported by Scottish Government (Rural and Environmental Scientific and Analytical Services). We are grateful to Ms Val Stevens for analytical and technical assistance and to the Biological Resource Facility staff for husbandry and maintenance of the experimental animals. The authors declare no conflicts of interest. Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.Peer reviewedPublisher PD

Cradle\u27s Empty Baby\u27s Gone

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I had $15 in my inside Pocket

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Modern forensic psychiatric hospital design : clinical, legal and structural aspects

Forensic psychiatric care must be provided within the least restrictive setting possible, whilst simultaneously maintaining appropriate levels of security. This presents particular challenges for the design of forensic psychiatric hospitals, which are required to provide both a therapeutic and a safe material environment, often for extended periods of treatment and rehabilitation. By taking into consideration variable trends in psychiatric service provision and myriad clinical, legal and ethical issues, interdisciplinary forensic facility design teams are at the very forefront in implementing the latest developments in medical architecture. Also, although there are significant differences in how forensic psychiatric services are organized around the world, the underlying clinical challenges and increasingly research-based treatment principles are similar worldwide; it is therefore becoming less acceptable to operate and develop national forensic services without reference to international standards. Accordingly, we here review the literature on what features of forensic psychiatric facilities best serve the needs of those patients who need to rely on them, and we present a systematic and widely applicable approach to the complex and costly challenge of modern forensic psychiatric hospital design.Peer reviewe

Working alliance, interpersonal trust and perceived coercion in mental health review hearings

<p>Abstract</p> <p>Background</p> <p>There is some evidence that when mental health commitment hearings are held in accordance with therapeutic jurisprudence principles they are perceived as less coercive, and more just in their procedures leading to improved treatment adherence and fewer hospital readmissions. This suggests an effect of the hearing on therapeutic relationships. We compared working alliance and interpersonal trust in clinicians and forensic patients, whose continued detentions were reviewed by two different legal review bodies according to their legal category.</p> <p>Methods</p> <p>The hearings were rated as positive or negative by patients and treating psychiatrists using the MacArthur scales for perceived coercion, perceived procedural justice (legal and medical) and for the impact of the hearing. We rated Global assessment of Function (GAF), Positive and Negative Symptom Scale (PANSS), Working Alliance Inventory (WAI) and Interpersonal Trust in Physician (ITP) scales six months before the hearing and repeated the WAI and ITP two weeks before and two weeks after the hearing, for 75 of 83 patients in a forensic medium and high secure hospital.</p> <p>Results</p> <p>Psychiatrists agreed with patients regarding the rating of hearings. Patients rated civil hearings (MHTs) more negatively than hearings under insanity legislation (MHRBs). Those reviewed by MHTs had lower scores for WAI and ITP. However, post-hearing WAI and ITP scores were not different from baseline and pre-hearing scores. Using the receiver operating characteristic, baseline WAI and ITP scores predicted how patients would rate the hearings, as did baseline GAF and PANSS scores.</p> <p>Conclusions</p> <p>There was no evidence that positively perceived hearings improved WAI or ITP, but some evidence showed that negatively perceived hearings worsened them. Concentrating on functional recovery and symptom remission remains the best strategy for improved therapeutic relationships.</p

THE INFLUENCE OF SENIOR HIGH SCHOOL HEADS’ LEADERSHIP STYLES ON STUDENTS’ ACADEMIC PERFORMANCE: THE CASE OF EAST AKIM MUNICIPAL, GHANA

Knowing the leadership styles of heads of Senior High Schools (SHS) helps to improve quality educational delivery. The aim of this paper was to assess the leadership styles of heads of Senior High Schools and its influence on academic performance. The concurrent triangulatory mixed method, involving both qualitative and quantitative was adopted for the study. Data was collected from a total of 460 respondents using a 24-item questionnaire and a semi-structured interview guide. The qualitative data were analysed thematically while the qualitative data was processed using Statistical Package for Social Science Students (SPSS version 22.0). The results show that most of the respondents (72.1%) agreed their heads style of leadership was democratic. In addition, it was revealed that involvement of teachers and students in decision making, collaborating with subordinates as well as provision educational resources were the top most factors leading to increased students’ performance. It was also found that only democratic leadership style had significant relationship with students’ academic performance (p=0.003). The study recommends periodic organization of capacity building workshops to enhance the skills of heads on how to collaborate and involve subordinates more in decision making.  Article visualizations

Letter from Albertus C. Van Raalte to Helenius de Cock

In a letter from Rev. Albertus C. Van Raalte to the Rev. Helenius de Cock, S Hertogenbosch, the Netherlands, the writer gives de Cock an extensive description of life in the Holland Colony. The original letter is lengthy, consisting of ten pages. Van Raalte gave a full description of the Holland community in many of its facets. He is doing his best to give de Cock the best impression possible of the Holland Colony, with the hopes that de Cock will accept his call to the Graafschap congregation.https://digitalcommons.hope.edu/vrp_1850s/1210/thumbnail.jp