Firesetting in Young People

Firesetting is common in young people but has serious potential consequences in terms of death, injury and financial cost. For example, insurers estimate that the cost of fire damage to UK schools in 2001 was £65 million (APB, 2003). Many authors make a distinction between firesetting (which may include “match-play” and the setting of small fires in gardens) and “arson” where there is intent to cause significant harm to property or person. However, under UK law “Arson” is simply defined as an act of criminal damage where the property is damaged or destroyed by fire. Approximately one third of all arson attacks in the UK are thought to be carried out by those under 18 (Canter & Almond, 2002) with adolescents showing higher levels of aggression and lower rates of psychosis and alcohol dependency than adult arsonists (Bradford & Dimock, 1986). Courts treat arson cases seriously, with around a third of disposals being custodial (Soothill, Ackerley & Francis, 2004), although this figure may be lower for those under 18. Young firesetters are frequently encountered in mental health settings (Kolko, Day, Bridge, et al, 2001b) and, in particular, forensic services. Health professionals may become involved in relation to their firesetting behaviour, co-existing mental health problems or associated medico-legal proceedings. This article reviews research findings regarding juvenile firesetting, making some suggestions regarding the assessment and management of young people who engage in this behaviour

Тепломассоперенос при локальном нагреве и зажигании жидкого топлива сфокусированным потоком излучения

Выполнено численное моделирование комплекса взаимосвязанных процессов тепломассопереноса с фазовыми переходами и химическими реакциями при нагреве и последующем зажигании типичного жидкого топлива сфокусированным потоком излучения. Установлены масштабы влияния процесса поглощения энергии парогазовой смесью и жидкостью на характеристики зажигания

T‐cell pseudolymphoma secondary to ixazomib for multiple myeloma

We present a case of a 54-year-old male with multiple myeloma (MM) who presented with widespread pruritic erythematous lesions following ixazomib treatment. This occurred after his third cycle of treatment with ixazomib, thalidomide and dexamethasone and was controlled by potent steroids and temporary cessation of ixazomib. The strong correlation between the timeline of the rash, ixazomib treatment and subsequent cessation led to a diagnosis of a drug-induced rash. Skin biopsy histology, immunochemistry and the absence of monoclonal T-cell receptor gene rearrangement further confirmed the diagnosis of a T-cell pseudolymphoma secondary to ixazomib. Ixazomib is an oral proteasome inhibitor used in the treatment of MM. Other proteasome inhibitors have been reported to trigger cutaneous adverse effects. However, to our knowledge, this is the first report of pseudolymphoma following proteasome inhibitor use. Dermatologists should be aware of this potential effect and the possible management pathways such as cessation and dose reduction

Молдавская идентичность в начале XXI в.: реалии и перспективы

Территория между Прутом и Днестром, названная позже Бессарабией, была присоединена к Российской империи в результате русско-турецкой войны 1806-1812 гг. согласно Бухарестскому мирному договору (16(28) мая 1812 г.)

Predictive validity of the UK clinical aptitude test in the final years of medical school:a prospective cohort study

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Free text adversity statements as part of a contextualised admissions process:a qualitative analysis

Abstract Background Medical schools globally are encouraged to widen access and participation for students from less privileged backgrounds. Many strategies have been implemented to address this inequality, but much still needs to be done to ensure fair access for all. In the literature, adverse circumstances include financial issues, poor educational experience and lack of professional-status parents. In order to take account of adverse circumstances faced by applicants, The University of Dundee School of Medicine offers applicants the opportunity to report circumstances which may have resulted in disadvantage. Applicants do this by completing a free text statement, known as an ‘adversity statement’, in addition to the other application information. This study analysed adversity statements submitted by applicants during two admissions cycles. Analysis of content and theme was done to identify the information applicants wished to be taken into consideration, and what range of adverse circumstances individuals reported. Methods This study used a qualitative approach with thematic analysis to categorise the adversity statements. The data was initially analysed to create a coding framework which was then applied to the whole data set. Each coded segment was then analysed for heterogeneity and homogeneity, segments merged into generated themes, or to create sub-themes. Results The data set comprised a total of 384 adversity statements. These showed a wide range of detail involving family, personal health, education and living circumstances. Some circumstances, such as geographical location, have been identified and explored in previous research, while others, such as long term health conditions, have had less attention in the literature. The degree of impact, the length of statement and degree of detail, demonstrated wide variation between submissions. Conclusions This study adds to the debate on best practice in contextual admissions and raises awareness of the range of circumstances and impact applicants wish to be considered. The themes which emerged from the data included family, school, personal health, and geographical location issues. Descriptions of the degree of impact that an adverse circumstance had on educational or other attainment was found to vary substantially from statements indicating minor, impact through to circumstances stated as causing major impact

The UK medical education database (UKMED) what is it?:Why and how might you use it?

The development of UKMED has not been directly funded by but has received support from the General Medical Council and Medical Schools Council as well as staff time from all participating organisations.Peer reviewedPublisher PD