Association of prior depressive symptoms and suicide attempts with subsequent victimisation - analysis of population-based data from the Adult Psychiatric Morbidity Survey

Background: Symptoms of mental disorder, particularly schizophrenia, predispose to victimisation. Much less is known about the relationship between depressive symptoms and later victimisation in the general population, the influence of these symptoms on types of subsequent victimisation, or the role of symptom severity. We investigated this in nationally representative data from the UK. Methods: Data were from the Adult Psychiatric Morbidity Survey 2007. Multivariable logistic regressions estimated association between: a. prior depressive symptoms, and b. prior depressive symptoms with suicide attempt, and types of more recent victimisation. Gender-specific associations were estimated using multiplicative interactions. Results: Prior depressive symptoms were associated with greater odds of any recent intimate partner violence (IPV), emotional IPV, sexual victimisation, workplace victimisation, any victimisation, and cumulative victimisation (adjusted odds ratio (aOR) for increasing types of recent victimisation: 1.47, 95% confidence interval (CI): 1.14, 1.89). Prior depressive symptoms with suicide attempt were associated with any recent IPV, emotional IPV, any victimisation, and cumulative victimisation (aOR for increasing types of recent victimisation: 2.33, 95%: 1.22, 4.44). Limitations: Self-reported recalled data on previous depressive symptoms, may have limited accuracy. Small numbers of outcomes for some comparisons resulted in imprecision of these estimates. Conclusion: Aside from severe mental illness such as schizophrenia, previous depressive symptoms in the general population are associated with greater subsequent victimisation. Men and women with prior depressive symptoms may be vulnerable to a range of types of victimisation, and may benefit from interventions to reduce this vulnerability

Perineal Abscess Secondary to Gas Gangrene - Use of Hyperbaric Oxygen as a Therapeutic Adjunct in a Case

Hyperbaric oxygen treatment of perineal abcess in human male with acute urinary tract difficult

A Brief History and a Framework for Understanding Commonalities and Differences of Community College Student Success Programs

This chapter reviews ways that researchers have presented variously narrow and broad groupings of special student success programs over the course of decades. Cultural Historical Activity Theory (CHAT) is proposed as a way to conceptualize various kinds of community college student success programs as instances of a more general type of program. There is today broad consensus among policy makers and higher education stakeholders that community colleges are key to achieving goals to increase the portion of adults with postsecondary credentials. In turn, community colleges educators look to new or innovative pedagogical and institutional structures to realize these goals. Key among efforts to enhance student success are a select few policies and practices singled out as holding particular promise to move the needle on community college persistence and completion. Such promising and high-impact practices (HIPs) include first-year seminars, student skills courses, college success strategies courses, extended orientation programs, and many others described throughout this issue

The Structure of Student Engagement in Community College Student Success Programs: A Quantitative Activity Systems Analysis

Community colleges increasingly implement various student success programs, including 1st-year seminars, college skills courses, learning communities, and orientation, in an effort to boost degree completion. However, it is unclear how success programs’ curricular designs may contribute to these and associated student outcomes. Such inquiry is limited, in part, by the lack of methodological frameworks for program impact heterogeneity research. This study proposes a new conceptualization of nominally different student success programs as instances of a broader activity, which also provides a way to operationalize their curricular structures in comparable ways. Second, to briefly illustrate this approach, the study leverages matched program and student data to investigate how variations in student engagement—an emergent intermediate outcome for fostering successful college going—are related to variation in program design. Findings reveal that structural and underutilized curricular elements may be more impactful than skills-based curricula that are typically the organizing focus of these programs

Review of Anne-Marie Núñez, Sylvia Hurtado, & Emily Calderón Galdeano (Eds.). \u3ci\u3eHispanic-Serving Institutions: Advancing Research and Transformative Practice\u3c/i\u3e

Institutions, just as the people who create them, inevitably change. What we believe describes and drives that change and what it means for everyone involved depends largely on our values and points of reference. In this edited volume, Núñez, Hurtado, and Calderón Galdeano invite readers to question prevailing ontological and epistemological assumptions regarding one of the most widespread, but least understood, institutional changes in higher education in the United States: a proliferation in the number of colleges and universities designated by the federal government as Hispanic-Serving Institutions (HSIs) that has coincided with the remarkable growth in the Hispanic population. In contrast to fellow Minority-Serving Institutions (MSIs; e.g., Historically Black Colleges and Universities and Tribal Colleges and Universities), HSIs were not founded—with only a few exceptions— to serve any particular group at all. Rather, all not-for-profit institutions of higher education can receive a federal HSI designation when they cross the threshold of 25% Latina/os among enrolled students, regardless of whether or not they choose to embrace that designation. This process is playing out among all sectors, sizes, and types of postsecondary institutions throughout the United States. Núñez, Hurtado, and Calderón Galdeano report that the 370 current HSIs represent 11% of all U.S. colleges and enroll 18% of all college students, a number set to increase with another 277 emerging HSIs (colleges with between 15% and 24% Latina/o student enrollment) that researchers have identified (Calderón Galdeano & Santiago, 2014). Yet their numerical growth and ubiquity, the authors of this book contend, contrasts sharply with how little we know of their diversity and potential to transform the national higher education landscape

Unpacking the Black Box of Student Engagement: The Need for Programmatic Investigation of High Impact Practices

The conceptual understanding of student engagement entails a necessary relationship between institutions and individuals. Several decades of research have revealed the empirical relationship of student engagement and desirable student outcomes, as well as the myriad intervening factors that influence engagement levels. However, there is a critical gap in the research literature as to the specific programmatic features of college practices that best foster student engagement. In an era of dwindling resources and increasing demand for higher education access and student success, this understanding is critical for utilizing scarce resources and developing programs with the most impact. This essay argues that despite such high impact or promising practices continually studied and shown to have a high impact on student engagement levels, a more systematic investigation of these practices, structurally and collectively instead of topically, is needed to further our conceptual understanding of engagement and how to encourage it at the intersection of the student in the community college context

The plasmatron: Advanced mode thermionic energy conversion

A theory of the plasmatron was developed. Also, a wide range of measurements were obtained with two versatile, research devices. To gain insight into plasmatron performance, the experimental results are compared with calculations based on the theoretical model of plasmatron operation. Results are presented which show that the plasma arc drop of the conventional arc (ignited) mode converter can be suppressed by use of an auxiliary ion source. The improved performance, however, is presently limited to low current densities because of voltage losses due to plasma resistance. This resistance loss could be suppressed by an increase in the plasma electron temperature or a decrease in spacing. Plasmatron performance characteristics for both argon and cesium are reported. The argon plasmatron has superior performance. Results are also presented for magnetic cutoff effects and for current distributing effects. These are shown to be important factors for the design of practical devices

An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study.

INTRODUCTION: The socio-economic impact of critical illnesses on patients and their families in Europe has yet to be determined. The aim of this exploratory study was to estimate changes in family circumstances, social and economic stability, care requirements and access to health services for patients during their first 12 months after ICU discharge. METHODS: Multi-center questionnaire-based study of survivors of critical illness at 6 and 12 months after ICU discharge. RESULTS: Data for 293 consenting patients who spent greater than 48 hours in one of 22 UK ICUs were obtained at 6 and 12 months post-ICU discharge. There was little evidence of a change in accommodation or relationship status between pre-admission and 12 months following discharge from an ICU. A negative impact on family income was reported by 33% of all patients at 6 months and 28% at 12 months. There was nearly a 50% reduction in the number of patients who reported employment as their sole source of income at 12 months (19% to 11%) compared with pre-admission. One quarter of patients reported themselves in need of care assistance at 6 months and 22% at 12 months. The majority of care was provided by family members (80% and 78%, respectively), for half of whom there was a negative impact on employment. Amongst all patients receiving care, 26% reported requiring greater than 50 hours a week. Following discharge, 79% of patients reported attending their primary care physician and 44% had seen a community nurse. Mobility problems nearly doubled between pre-admission and 6 months (32% to 64%). Furthermore, 73% reported moderate or severe pain at 12 months and 44% remained significantly anxious or depressed. CONCLUSIONS: Survivors of critical illness in the UK face a negative impact on employment and commonly have a care requirement after discharge from hospital. This has a corresponding negative impact on family income. The majority of the care required is provided by family members. This effect was apparent by 6 months and had not materially improved by 12 months. This exploratory study has identified the potential for a significant socio-economic burden following critical illness