Perinatal Substance Use Screenings in Marin County: a brief overview of screening protocols and identifying gaps in care

Introduction Perinatal substance use continues to be a major public health issue in women’s health. The purpose of this study was to determine the frequency of substance use screenings in care and assess how well the existing services in Marin County are serving the needs of pregnant and parenting women and identifying the gaps and/or weaknesses in current practice. Methods Data for this study was collected via semi-structured interviews with five professionals that worked at the local community clinic, hospital and a non-profit agency. Some questions were slightly modified to be configured toward the participant’s specific profession. Results Results from the interviews reveal common screening practices though some were less formal and more conversational and there is no technical universal screening tool used. Participants also noted several common themes in gaps of care, in terms of patient’s views toward health care, needed improvements, common substances seen, the difference between the hospital and clinic protocol, adolescents, and African Americans. Discussion Findings suggest more training and a cohesive approach to screening should be implemented for both hospital and clinic settings. More understanding is needed for other care physicians as well as a need to address the gaps in care for the younger adolescent population, African Americans, and changing the negative perception of healthcare maternal patients have toward them. Examining other social determinants of health are also future implications to consider in perinatal and postnatal care

Portrait of a Lady

"Lining the corridors of university buildings and old homes are the forgotten remnants of America's once flourishing portrait painting tradition. For the two and a half centuries before the invention of photography, unknown numbers of itinerant artists worked to record the likenesses of prosperous Americans, and many of the surviving examples of their work -- remarkable mostly for their unimaginative compositions, dull coloring and awkward technique -- seemingly justify the neglect shown them by both passers-by and art historians. Occasionally, however, among the ranks of uniformly expressionless faces there will be one which has a human immediacy for the viewer. A fine portrait owned by the Museum of Art and Archaeology, University of Missouri-Columbia exemplifies both the best and worst aspects of this tradition: the features are conventionally immobile, the composition is arranged according to formula, and so forth, but nonetheless our nineteenth-century matron is portrayed with a presence that is more than the mere recording of her image."--First paragraphs.Includes bibliographical reference

Providing STEM Experiences, Through Robotic Competitions, for Students and Teachers Grades Six Through Twelve

Science, Technology, Engineering, and Math (STEM) is a current emphasis in education. Machi (2009) points out that in order for the United States to be globally competitive, innovative, and prepared for new economic and security challenges, the U.S. must have a competitive and innovative educational environment that encourages entrepreneurship and excellence in STEM subjects (p. 1). The U.S. government depends on science, technology, engineering, and math to maintain its position as the world superpower (Machi, 2009, p. 2) and spends about $700 million a year on elementary and secondary education in the STEM fields through agencies such as NASA, the National Science Foundation and the U.S. Education Department (Nick, 2010, p. 1). Every day, a new technology is brought to market by the STEM workforce, enabling people around the world to live longer, better lives (Machi, 2009, p. 2). From the digital cable box used to watch TV shows to the micro-processor in your car that performs self diagnostics and e-mails the results, technology is used in almost every part of our daily lives

Tenemos un problema

La propuesta está basada en el trabajo de aula con estudiantes de 6° año de la Educación Secundaria Obligatoria, en el espacio curricular de Matemática. Se trabaja como núcleo de conceptualizaciones la modelización de situaciones que promuevan la interpretación, análisis y uso de funciones trigonométricas y ecuaciones asociadas a ellas.  El problema alrededor del cual gira toda la secuencia -determinar a partir de qué n∈N la distancia entre un término de la sucesión y su límite se mantiene siempre menor que un ε-, representa una síntesis y un caso de situaciones para las cuales las construcciones trigonométricas trabajadas previamente se pudieron disponer como una potente estrategia de solución

Communications.

Définitions Qu’entendons-nous par communication ? La signification la plus ancienne de ce terme, en anglais, peut se résumer au passage des idées, d’informations et d’attitudes, d’une personne à d’autres. Mais plus tard, le terme communication vint à signifier aussi une ligne ou un canal entre deux lieux. Depuis la révolution industrielle, ce type de communication – les canaux, chemins de fer, navires à vapeur, automobiles, avions – a connu tant d’améliorations que bien souvent, lorsque nous ..