Occupational Therapy Community Reintegration for Inmates with Co-occurring Disorders

A co-occurring disorder (COD) is the coexistence of a substance use disorder and mental health disorder (Substance Abuse and Mental Health Services Administration, 2016). The prevalence of inmates with COD in correctional facilities is disproportionately high (Grant, Stinson, & Dawson, 2004). Despite the high incidence, correctional facilities are not equipped to meet the complex needs of individuals with COD, which often leads these individuals to re-offending or re-incarceration (Sacks, Chaple, Sacks, McKendrick, & Cleland, 2012). The role of occupational therapy in this area of practice is not clearly distinguished. However, occupational therapy’s holistic, client-centered, and occupation-based principles position the profession appropriately to address the needs of individuals with COD in the forensic setting. Therefore, the purpose of this project was to develop a product that would demonstrate the role of occupational therapy in forensic settings with a focus on addressing the needs of individuals with COD. Occupational Therapy’s Role in Community Reintegration: Continuum of Treatment for Individuals with Co-occurring Disorders from Incarceration to Community can be used by occupational therapy practitioners to develop programming, guide intervention, or educate non-occupational therapy professionals on the role of occupational therapy in this setting. A primary limitation of the project is that the feasibility of the product’s implementation is unknown due to the variability of resources at correctional facilities. The generality of the manual may be an additional limitation of the product, as it may be difficult for occupational therapy practitioners to apply it to a specific correctional institution. It is recommended that research is conducted to understand implementation of the product order to determine its effectiveness

Elliptic Genera and 3d Gravity

We describe general constraints on the elliptic genus of a 2d supersymmetric conformal field theory which has a gravity dual with large radius in Planck units. We give examples of theories which do and do not satisfy the bounds we derive, by describing the elliptic genera of symmetric product orbifolds of $K3$, product manifolds, certain simple families of Calabi-Yau hypersurfaces, and symmetric products of the "Monster CFT." We discuss the distinction between theories with supergravity duals and those whose duals have strings at the scale set by the AdS curvature. Under natural assumptions we attempt to quantify the fraction of (2,2) supersymmetric conformal theories which admit a weakly curved gravity description, at large central charge.Comment: 50 pages, 9 figures, v2: minor corrections to section

Papéis de gênero e gênero no papel: uma análise de conteúdo da revista Capricho, 2001-2002

Magazines are one of the ways through which gender roles are learned by adolescents. In a content analysis of a 2001-2002 sample of Capricho, the authors found that the magazine plays the role of older sister, giving advice to its' readers, offering information about how to negotiate the transition to adulthood. While on the one hand, the magazine encourages girls to take control of their lives and respect and protect their interests, on the other, the magazine promotes the image of the ideal girl as submissive, sacrificing her own needs so as to not offend masculine superiority.gênero; adolescentes; revistas; análise de conteúdo

Discovery of a second SALMFamide gene in the sea urchin Strongylocentrotus purpuratus reveals that L-type and F-type SALMFamide neuropeptides coexist in an echinoderm species

NOTICE: this is the author’s version of a work that was accepted for publication in MARINE GENOMICS. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in MARINE GENOMICS, [VOL 3, ISSUE 2, (2010)] DOI: 10.1016/j.margen.2010.08.00

Molecular detection of culture-confirmed bacterial bloodstream infections with limited enrichment time

Conventional blood culturing using automated instrumentation with phenotypic identification requires a significant amount of time to generate results. This study investigated the speed and accuracy of results generated using PCR and pyrosequencing compared to the time required to obtain Gram stain results and final culture identification for cases of culture-confirmed bloodstream infections. Research and physician-ordered blood cultures were drawn concurrently. Aliquots of the incubating research blood culture fluid were removed hourly between 5 and 8 h, at 24 h, and again at 5 days. DNA was extracted from these 6 time point aliquots and analyzed by PCR and pyrosequencing for bacterial rRNA gene targets. These results were then compared to those of the physician-ordered blood culture. PCR and pyrosequencing accurately identified 92% of all culture-confirmed cases after a mean enrichment time of 5.8 ± 2.9 h. When the time needed to complete sample processing was included for PCR and pyrosequencing protocols, the molecular approach yielded results in 11.8 ± 2.9 h compared to means of 27.9 ± 13.6 h to obtain the Gram stain results and 81.6 ± 24.0 h to generate the final culture-based identification. The molecular approach enabled accurate detection of most bacteria present in incubating blood culture bottles on average about 16 h sooner than Gram stain results became available and approximately 3 days sooner than the phenotypic identification was entered in the Laboratory Information System. If implemented, this more rapid molecular approach could minimize the number of doses of unnecessary or ineffective antibiotics administered to patients

Core Principles to Improve Primary Care Quality Management

Quality management in American health care is in crisis. Performance measurement in its current form is costly, redundant, and labyrinthine. Increasingly, its contribution to achieving the Quadruple Aim is under close examination, especially in the domain of primary care services, where the burden of measurement is heaviest. This article assesses the state of quality management in primary care in the United States, particularly the 2015 Medicare Access and Children’s Health Insurance Program Reauthorization Act, in comparative perspective, drawing lessons from the Quality and Outcomes Framework in the United Kingdom. The health care delivery function specific to primary care is pivotal to crossing the quality chasm, yet prior efforts to improve the quality of this function have failed more often than succeeded. These failures are the result of quality programs unguided by core principles of primary care. Quality management in primary care requires a more disciplined approach, adherent to 4 foundational principles: optimizing holistic patient and population health; harnessing the Quadruple Aim as a dynamic whole; applying measurements as tools for quality, not outcomes of quality; and prioritizing therapeutic relationships. These principles serve as the foundation for a bridge to high-functioning primary care that will lead American health care closer to the Quadruple Aim

Cores in warm dark matter haloes: a Catch 22 problem

The free streaming of warm dark matter particles dampens the fluctuation spectrum, flattens the mass function of haloes and imprints a fine grained phase density limit for dark matter structures. The phase space density limit is expected to imprint a constant density core at the halo center on the contrary to what happens for cold dark matter. We explore these effects using high resolution simulations of structure formation in different warm dark matter scenarios. We find that the size of the core we obtain in simulated haloes is in good agreement with theoretical expectations based on Liouville's theorem. However, our simulations show that in order to create a significant core, (r_c~1 kpc), in a dwarf galaxy (M~1e10 Msun), a thermal candidate with a mass as low as 0.1 keV is required. This would fully prevent the formation of the dwarf galaxy in the first place. For candidates satisfying large scale structure constrains (m_wdm larger than 1-2 keV) the expected size of the core is of the order of 10 (20) pc for a dark matter halo with a mass of 1e10 (1e8) Msun. We conclude that "standard" warm dark matter is not viable solution for explaining the presence of cored density profiles in low mass galaxies.Comment: 9 pages, 8 figures, new theory section, fig 8 updated, conclusions unchanged, accepted for publication on MNRA