Faculty Perspectives of a School-Based Mental Health Program In a Rural School District

School-based mental health centers provide promising solutions to the nationwide problem of high school dropouts and help students tackle the many barriers that may not only impede their health and well-being, but also their chances for completing high school (Center for School, Health, and Education, 2014). Therefore, gaining and understanding the perspectives of educators will influence the course initiative. The study showed that the services were needed because every participant (n=130) had experienced students who exhibited behaviors associated with mental health problems in the classroom or school environment. Duties regarding the provision of counseling services and behavior-related issues were perceived to be the responsibility of the counselor while screening, and assessment-related duties were thought to be the responsibility of the school psychologist. Case management and the provision of intervention services were thought to be the responsibility of the school social worker. Monitoring and providing early intervention services were thought to be the duty of the regular and special education teachers. The primary obstacles to providing mental health services at school are a lack of funding and resources. Other obstacles include stigma, inability to access services, and teachers being untrained on mental health signs and how and to whom to refer the students. The main benefit of providing mental health services would be an overall improvement in academic achievement. These findings are beneficial for districts that are looking at assessing the need of school-based mental health services and program implementation

A Medical Student Foray into the Depths of Public Health: An Exploratory Investigation Toward a Community Dashboard Characterizing the Experiences of Frailty in Order to Guide Improvement

While it is known that there are many shortcomings in the care of the elderly, their rate and impact on the community and the elderly themselves is not well understood. In exploring the possibilities for using existing data and available informants, a dashboard could be created that would enable a geographic community to understand the experience of living with disabilities in old age, to prioritize problems, and to test improvements. The methods included a literature review to understand what and how easily information could be accessed, gathered, and presented. In regards to literature on data collection, CMS claims data, MDS, OASIS, and death certificate follow back interviews were examined. In addition, other databases and dashboards were explored to better understand methods and aims. Interviews were then pilot-tested with caregivers of frail elders, both alive and deceased. It was ultimately concluded that by using existing data from utilization and other required data sets, a geographic community could construct a useful dashboard to prioritize and monitor improvements in elder care. The biases, which would be fairly stable across time for any one community, could be estimated. The costs could be mitigated with inexpensive access and off-the-shelf analytic packages. Most importantly, by marrying the breadth of information from large data sources with the depth of caregiver interviews, a platform could be created that motivates communities to undergo a very necessary elder care reform

International nurse education leaders' experiences of responding to the COVID-19 pandemic:A qualitative study

AIMS: To explore the experiences of strategic leads for nurse education as they sought to respond to the COVID‐19 pandemic. DESIGN: We utilised a qualitative interpretative approach to explore education leaders’ experiences of leading during the early months of the pandemic. METHODS: Nineteen leaders with significant strategic responsibility for nurse education in Australia, Canada, New Zealand, Singapore and the United Kingdom were identified via purposive sampling and agreed to participate. Interviews were held between May and July 2020. RESULTS: Four overarching themes arose from the analysis: (1) Crisis driven adaptability & flexibility; (2) Responsive, complex and changing communication; (3) Making decisions for student and staff safety; (4) Looking to the future; stronger partnerships. CONCLUSION: Internationally, while nursing education leaders faced different problems, they shared a common goal amidst the crisis to remain student‐centred. They demonstrated they were able to face major challenges, respond to large scale logistical problems and make decisions under significant and ongoing pressure. IMPACT: In responding to the pandemic, nurse leaders shared knowledge and offered mutual support. This bodes well for future collaboration. The move to online learning accelerated an existing trend and it seems likely that this will continue. Given the pressures they experienced over an extended period, the sector may wish to consider how it prepares and supports existing and future leaders

Characteristics of Cocaine Users Presenting to an Emergency Department Chest Pain Observation Unit

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73770/1/j.aem.2004.11.021.pd

Studies on the kinetics and mechanism of reduction of flavodoxin from Peptostreptococcus elsdenii by sodium dithionite

1. 1. The reactions of the oxidised and semiquinone forms of Peptostreptococcus elsdenii flavodoxin with sodium dithionite have been studied by stopped flow spectrophotometry. At low ionic strength where comproportionation of flavodoxin is slow compared with the overall rate of reduction, the reactions with an excess of dithionite follow first-order kinetics. Semiquinone is not detected during the reduction of oxidised flavodoxin, possibly because the semiquinone is reduced very much faster than the oxidised protein.2. 2. The rates of reduction are proportional to the square root of the dithionite concentration. This observation suggests that the reducing species is not dithionite itself, but a dissociation product. It is proposed that the reducing species is SO2. The results support a mechanism in which the reduction of oxidised flavodoxin occurs by two successive one-electron transfers, and is limited by the rate of reduction to the semiquinone level.3. 3. The reaction of oxidized flavodoxin and fully reduced flavodoxin to form semiquinone is very sensitive to ionic strength and the salt composition of the medium. Increasing ionic strength causes a marked increase in rate. The rate constant at zero ionic strength, calculated by extrapolation, was 100 M-1[middle dot]min-1 at 25 [deg]C.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/33849/1/0000107.pd

The journey so far : professional sport during the COVID-19 pandemic

BACKGROUND : The COVID-19 pandemic has profoundly impacted community and professional sports. Throughout this time, sports organisations collaborated closely with the WHO, host national governments and their public health authorities. The common goals were to assess risk and to implement risk reduction measures to facilitate a stepwise return to sport, thus realising the physical and mental health benefits of sport for the participants, as well as the safe resumption of competitive events despite active SARS-CoV-2 transmission in many countries.https://bmjopensem.bmj.comSports Medicin

Mapping children's presence in the neighbourhood

Within the work of Gert Biesta, public spaces are considered as the main fields where processes of civic learning can take place. Learning is always “in place and time”. Place matters, not only as a spatial background or set of conditions , but as a pedagogical process in itself. So in order to facilitate processes of civic learning we need to understand how spaces function as a co-educator in its own right.. In my PhD I studied how the neighbourhood can be understood as a co-educator. The processes through which children are socialised into a given order are not universal, nor neutral. One might state that children grow up into very different orders. The neighbourhood is an important factor into these diversified socialisation processes, but the neighbourhood is also made by its residents and users themselves, including children. This emphasises that socialisation is a relational process and not a functional oneway introduction of children into a prescribed social ordeIn this contribution, a methodological framework will be developed for understanding and studying the neighbourhood of children as a co-educator. The basis of this framework is formed by the synergy between spatial, social and personal dimensions of the neighbourhood

Border collapse and boundary maintenance: militarisation and the micro-geographies of violence in Israel–Palestine

This is the author accepted manuscript. The final version is available from the publisher via the DOI in this record.Drawing upon subaltern geopolitics and feminist geography, this article explores how militarisation shapes micro-geographies of violence and occupation in Israel–Palestine. While accounts of spectacular and large-scale political violence dominate popular imaginaries and academic analyses in/of the region, a shift to the micro-scale foregrounds the relationship between power, politics and space at the level of everyday life. In the context of Israel–Palestine, micro-geographies have revealed dynamic strategies for ‘getting by’ or ‘dealing with’ the occupation, as practiced by Palestinian populations in the face of spatialised violence. However, this article considers how Jewish Israelis actively shape the spatial micro-politics of power within and along the borders of the Israeli state. Based on 12 months of ethnographic research in Tel Aviv and West Jerusalem during 2010–2011, an analysis of everyday narratives illustrates how relations of violence, occupation and domination rely upon gendered dynamics of border collapse and boundary maintenance. Here, the borders between home front and battlefield break down at the same time as communal boundaries are reproduced, generating conditions of ‘total militarism’ wherein military interests and agendas are both actively and passively diffused. Through gendering the militarised micro-geographies of violence among Jewish Israelis, this article reveals how individuals construct, navigate and regulate the everyday spaces of occupation, detailing more precisely how macro political power endures.This work was supported by the SOAS, University of London; University of London Central Research Fund

In Vitro Interactions between Bacteria, Osteoblast-Like Cells and Macrophages in the Pathogenesis of Biomaterial-Associated Infections

Biomaterial-associated infections constitute a major clinical problem that is difficult to treat and often necessitates implant replacement. Pathogens can be introduced on an implant surface during surgery and compete with host cells attempting to integrate the implant. The fate of a biomaterial implant depends on the outcome of this race for the surface. Here we studied the competition between different bacterial strains and human U2OS osteoblast-like cells (ATCC HTB-94) for a poly(methylmethacrylate) surface in the absence or presence of macrophages in vitro using a peri-operative contamination model. Bacteria were seeded on the surface at a shear rate of 11 1/s prior to adhesion of U2OS cells and macrophages. Next, bacteria, U2OS cells and macrophages were allowed to grow simultaneously under low shear conditions (0.14 1/s). The outcome of the competition between bacteria and U2OS cells for the surface critically depended on bacterial virulence. In absence of macrophages, highly virulent Staphylococcus aureus or Pseudomonas aeruginosa stimulated U2OS cell death within 18 h of simultaneous growth on a surface. Moreover, these strains also caused cell death despite phagocytosis of adhering bacteria in presence of murine macrophages. Thus U2OS cells are bound to loose the race for a biomaterial surface against S. aureus or P. aeruginosa, even in presence of macrophages. In contrast, low-virulent Staphylococcus epidermidis did not cause U2OS cell death even after 48 h, regardless of the absence or presence of macrophages. Clinically, S. aureus and P. aeruginosa are known to yield acute and severe biomaterial-associated infections in contrast to S. epidermidis, mostly known to cause more low-grade infection. Thus it can be concluded that the model described possesses features concurring with clinical observations and therewith has potential for further studies on the simultaneous competition for an implant surface between tissue cells and pathogenic bacteria in presence of immune system components