Children in Foster Care and Excessive Medications

Children in foster care system are more likely to receive diagnoses of major mental illness and to be medicated with powerful medications such as antipsychotic drugs. Reasons for the increased risk of the actual mental illnesses and for the diagnoses of illness among children in foster care are reviewed. The reliabilities of various diagnoses are considered. The legitimacy of the rationale for early medications to prevent later disability is discussed. The very real hazards of medicating with antipsychotics, anticonvulsants, stimulants, mood stabilizers and antidepressants are reviewed. A discussion of advocacy efforts occurring around the United States on behalf of medicated children in the foster care system is presented. Finally, changes being instituted by the federal government through the Department of Health, Education, and Welfare and the Government Accounting Office (GAO),following the hearing of December 1, 2011 convened by Senator Thomas Carper,are discussed

Integrating Knowledge and Action: A Study of Leadership in the Development of Master\u27s Degree Programs in Liberal Studies

Master\u27s degree programs in liberal studies (MALS programs) have proliferated in the United States over the past twenty years. Studying the leadership relationships that faculty and administration form during the MALS program development process provides insight into how non-traditional graduate programs may be developed in the future. The purposes of the study were to investigate the development of MALS programs, and to examine the leaders and followers who successfully advanced the MALS program development agenda. The specific objectives of the study were (1) to examine the theoretical bases and curricular frameworks of MALS programs; (2) to explore how individuals and groups practiced leadership, implemented change, and successfully developed MALS programs; and (3) to examine the leaders and followers who developed MALS programs. Eight MALS programs were examined against the theoretical framework of Foster\u27s critical leadership, which states that leadership relationships must be characterized by demystification (penetration) of structure, be politically and critically educative, and be attentive to the symbolic and communicative power of language. According to Foster, if these three elements are seen, the praxis of leadership is present. A multiple case study design was used. Eight MALS programs--which varied by geographic region, institution type, and program type--were selected for the study. MALS program directors described their programs as being inquiry-based, designed to bring new cultural and ethnic voices into the intellectual conversation, and intended to offer adult students a broad-based alternative to a career-oriented master\u27s degree. All programs are interdisciplinary on a program level, but not necessarily on a course level. The number of electives determines the interdisciplinary type of a MALS program. In assessing an applicant\u27s suitability for MALS program admission, directors relied much more heavily on personal interviews and application essays than on standardized test scores and undergraduate grade point averages. The factor most closely identified with successful MALS program development was the presence of an academic champion who also has direct administrative responsibility for the development and operation of the MALS program. Contra-indications to successful MALS program development included having an administrative champion but no academic champion, or experiencing the sudden loss of an administrative and/or academic champion. All three of Foster\u27s essential elements in critical leadership were seen in the development of six MALS programs in the study. There was insufficient information to make a judgment about leadership in the development of the other two programs

Pretransplant HLA typing revealed loss of heterozygosity in the major histocompatibility complex in a patient with acute myeloid leukemia

Introduction Chromosomal abnormalities are frequent events in hematological malignancies. The degree of HLA compatibility between donor and recipient in hematopoietic stem cell transplantation is critical. Purpose of the study In this report, we describe an acute myeloid leukemia case with loss of heterozygosity (LOH) encompassing the entire HLA. Materials and methods HLA molecular typing was performed on peripheral blood (PB) and buccal swabs (BS). Chromosomal microarray analysis (CMA) was performed using a whole genome platform. Results Typing results on PB sample collected during blast crisis demonstrated homozygosity at the -A, -B, -C, -DR, and -DQ loci. A BS sample demonstrated heterozygosity at all loci. A subsequent PB sample drawn after count recovery confirmed heterozygosity. The CMA performed on PB samples collected during and after blast crisis revealed a large terminal region of copy-neutral LOH involving chromosome region 6p25.3p21.31, spanning approximately 35.9 Mb. The results of the CMA assay on sample collected after count recovery did not demonstrate LOH. Conclusions LOH at the HLA gene locus may significantly influence the donor search resulting in mistakenly choosing homozygous donors. We recommend confirming the HLA typing of recipients with hematological malignancies when homozygosity is detected at any locus by using BS samples, or alternatively from PB when remission is achieved

Vortex lattice structure in BaFe2(As0.67P0.33)2 by the small-angle neutron scattering technique

We have observed a magnetic vortex lattice (VL) in BaFe2(As_{0.67}P_{0.33})2 (BFAP) single crystals by small-angle neutron scattering (SANS). With the field along the c-axis, a nearly isotropic hexagonal VL was formed in the field range from 1 to 16 T, which is a record for this technique in the pnictides, and no symmetry changes in the VL were observed. The temperature-dependence of the VL signal was measured and confirms the presence of (non d-wave) nodes in the superconducting gap structure for measurements at 5 T and below. The nodal effects were suppressed at high fields. At low fields, a VL reorientation transition was observed between 1 T and 3 T, with the VL orientation changing by 45{\deg}. Below 1 T, the VL structure was strongly affected by pinning and the diffraction pattern had a fourfold symmetry. We suggest that this (and possibly also the VL reorientation) is due to pinning to defects aligned with the crystal structure, rather than being intrinsic.Comment: 9 pages, 9 figure

Learning Disabilities in the Workplace: LD awareness presentation for supervisors

This informational workshop is an awareness tool for chairpersons to understand and recognize characteristics and consequences of learning disabilities in the workplace. Legal rights and responsibilities of employers and individuals with learning disabilities will be discussed. Accommodations for specific learning disabilities will be identified. This presentation is informational only.Citation: Verhage, E., Coleman, T., Darbyshire, M.J., & Littrell, L. (2006). Learning Disabilities in the Workplace: LD awareness presentation for supervisors. Academic Chairperson’s Conference. Orlando, FL

Interplay of gravitation and linear superposition of different mass eigenstates

The interplay of gravitation and the quantum-mechanical principle of linear superposition induces a new set of neutrino oscillation phases. These ensure that the flavor-oscillation clocks, inherent in the phenomenon of neutrino oscillations, redshift precisely as required by Einstein's theory of gravitation. The physical observability of these phases in the context of the solar neutrino anomaly, type-II supernovae, and certain atomic systems is briefly discussed

Sept8/SEPTIN8 involvement in cellular structure and kidney damage is identified by genetic mapping and a novel human tubule hypoxic model.

Chronic kidney disease (CKD), which can ultimately progress to kidney failure, is influenced by genetics and the environment. Genes identified in human genome wide association studies (GWAS) explain only a small proportion of the heritable variation and lack functional validation, indicating the need for additional model systems. Outbred heterogeneous stock (HS) rats have been used for genetic fine-mapping of complex traits, but have not previously been used for CKD traits. We performed GWAS for urinary protein excretion (UPE) and CKD related serum biochemistries in 245 male HS rats. Quantitative trait loci (QTL) were identified using a linear mixed effect model that tested for association with imputed genotypes. Candidate genes were identified using bioinformatics tools and targeted RNAseq followed by testing in a novel in vitro model of human tubule, hypoxia-induced damage. We identified two QTL for UPE and five for serum biochemistries. Protein modeling identified a missense variant within Septin 8 (Sept8) as a candidate for UPE. Sept8/SEPTIN8 expression increased in HS rats with elevated UPE and tubulointerstitial injury and in the in vitro hypoxia model. SEPTIN8 is detected within proximal tubule cells in human kidney samples and localizes with acetyl-alpha tubulin in the culture system. After hypoxia, SEPTIN8 staining becomes diffuse and appears to relocalize with actin. These data suggest a role of SEPTIN8 in cellular organization and structure in response to environmental stress. This study demonstrates that integration of a rat genetic model with an environmentally induced tubule damage system identifies Sept8/SEPTIN8 and informs novel aspects of the complex gene by environmental interactions contributing to CKD risk

A novel procedure for genotyping of single nucleotide polymorphisms in trisomy with genomic DNA and the invader assay

Individuals with trisomy 21 display complex phenotypes with differing degrees of severity. Numerous reliable methods have been established to diagnose the initial trisomy in these patients, but the identification and characterization of the genetic basis of the phenotypic variation in individuals with trisomy remains challenging. To date, methods that can accurately determine genotypes in trisomic DNA samples are expensive, require specialized equipment and complicated analyses. Here we report proof-of-concept results for an Invader® assay-based genotyping procedure that can determine SNP genotypes in trisomic genomic DNA samples in a simple and cost-effective manner. The procedure requires only two experimental steps: a real-time measurement of the fluorescent Invader® signal and analysis with a specifically designed clustering algorithm. The approach was tested using genomic DNA samples from 23 individuals with trisomy 21, and results were compared to genotypes previously determined with pyrosequencing. Additional assays for 15 SNPs were tested in a set of 21 DNA samples to assess assay performance. Our method successfully identified the correct SNP genotypes for the trisomic genomic DNA samples tested, and thus provides an alternative to determine SNP genotypes in trisomic DNA samples for subsequent association studies in patients with Down syndrome and other trisomies

Expression of Emotion: When It Causes Trauma and When It Helps

The idea that clients should be encouraged to express strong emotion regarding the traumas they have suffered is widely assumed. This paper asks whether the empirical literature supports the underlying assumption that emotional expression leads to positive outcomes (better health and dissipation of distress). Studies in which individuals who have been given an opportunity to express emotions about past traumas are compared with subjects placed in appropriate control conditions are reviewed. The empirical literature suggests that eliciting emotion is harmful when it is not associated with reappraisal of past trauma, but helpful when the reappraisal occurs. The following guideline emerges: if trauma is to be revisited, it should be accompanied by reappraisal. Since this is sometimes difficult to engineer, alternative approaches for working with victims of trauma, not involving revisiting the trauma, are offered. Additionally, it is suggested that it can be helpful to identify the nature of the problem arising from the traumatic experience, and then provide therapeutic intervention that addresses the problem

Codes of Fair Competition: The National Recovery Act, 1933-1935, and the Women’s Dress Manufacturing Industry

Controversial issues prevalent in today’s ready-to-wear apparel industry include the right of workers to join unions, the proliferation of sweatshops and sweatshop conditions, and design piracy. The idea of forming codes of conduct to establish criteria of ethical business practices is not new to the apparel industry. Indeed, the women’s dress manufacturing industry discussed and debated codes of fair competition under the New Deal Policies of the National Recovery Act (NRA) of 1933 to 1935. Primary sources for this study included governmental hearings in the establishment of the NRA Dress Code, The New York Times, Women’s Wear Daily, and the Journal of the Patent Office Society. The history of the NRA codes implemented in the U.S. women’s ready-to-wear apparel industry provides an important case study highlighting the difficulties and complexities of creating and achieving industry-wide standard practices through self-regulation. The failure of the NRA demonstrates that even with the joint cooperation of industry, labor, and consumer groups and the backing of the force of law, codes of fair competition proved impossible to enforce