Aging Out of the Foster Care System to Adulthood: Findings, Challenges, and Recommendations

To assess and ultimately help meet the needs of youth who age out of foster care in the United States, the Joint Center Health Policy Institute (JCHPI) -- with support from the Robert Wood Johnson Foundation and in partnership with the Black Administrators in Child Welfare Inc. (BACW) -- conducted reconnaissance on the unmet needs of these youth. This project was undertaken to guide the Robert Wood Johnson Foundation in thinking about steps they might take to help meet the needs of youth who age out of foster care in this country. Conducting a literature review, a telephone survey, and listening sessions enabled us to develop insights into the workings of the foster care system and the experiences of youth while in the system and when aging out of it

Psychoeducational interventions in adolescent depression: A systematic review

Background: Adolescent depression is common and leads to distress and impairment for individuals/families. Treatment/prevention guidelines stress the need for good information and evidence-based psychosocial interventions. There has been growing interest in psychoeducational interventions (PIs), which broadly deliver accurate information about health issues and self-management. Objective, methods: Systematic search of targeted PIs as part of prevention/management approaches for adolescent depression. Searches were undertaken independently in PubMed, PsycINFO, EMBASE, guidelines, reviews (including Cochrane), and reference lists. Key authors were contacted. No restrictions regarding publishing dates. Results: Fifteen studies were included: seven targeted adolescents with depression/depressive symptoms, eight targeted adolescents ‘at risk' e.g. with a family history of depression. Most involved family/group programmes; others included individual, school-based and online approaches. PIs may affect understanding of depression, identification of symptoms, communication, engagement, and mental health outcomes. Conclusion, practice implications: PIs can have a role in preventing/managing adolescent depression, as a first-line or adjunctive approach. The limited number of studies, heterogeneity in formats and evaluation, and inconsistent approach to defining PI, make it difficult to compare programmes and measure overall effectiveness. Further work needs to establish an agreed definition of PI, develop/evaluate PIs in line with frameworks for complex interventions, and analyse their active components

A study of the independent plays of Philip Massinger

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Survey: energy efficient protocols using radio scheduling in wireless sensor network

An efficient energy management scheme is crucial factor for design and implementation of any sensor network. Almost all sensor networks are structured with numerous small sized, low cost sensor devices which are scattered over the large area. To improvise the network performance by high throughput with minimum energy consumption, an energy efficient radio scheduling MAC protocol is effective solution, since MAC layer has the capability to collaborate with distributed wireless networks. The present survey study provides relevant research work towards radio scheduling mechanism in the design of energy efficient wireless sensor networks (WSNs). The various radio scheduling protocols are exist in the literature, which has some limitations. Therefore, it is require developing a new energy efficient radio scheduling protocol to perform multi tasks with minimum energy consumption (e.g. data transmission). The most of research studies paying more attention towards to enhance the overall network lifetime with the aim of using energy efficient scheduling protocol. In that context, this survey study overviews the different categories of MAC based radio scheduling protocols and those protocols are measured by evaluating their data transmission capability, energy efficiency, and network performance. With the extensive analysis of existing works, many research challenges are stated. Also provides future directions for new WSN design at the end of this survey

Work-Related Health in Europe: Are Older Workers More at Risk?

This paper uses the fourth European Working Conditions Survey (2005) to address the impact of age on work-related self-reported health outcomes. More specifically, the paper examines whether older workers differ significantly from younger workers regarding their job-related health risk perception, mental and physical health, sickness absence, probability of reporting injury and fatigue. Accounting for the 'healthy worker effect', or sample selection – in so far as unhealthy workers are likely to exit the labour force – we find that as a group, those aged 55-65 years are more 'vulnerable' than younger workers: they are more likely to perceive work-related health and safety risks, and to report mental, physical and fatigue health problems. As previously shown, older workers are more likely to report work-related absence.endogeneity, fatigue, absence, physical health, mental health, healthy worker selection effect

Towards a formative assessment of classroom competencies (FACCs) for postgraduate medical trainees

Background An assumption of clinical competency is no longer acceptable or feasible in routine clinical practice. We sought to determine the feasibility, practicability and efficacy of undertaking a formal assessment of clinical competency for all postgraduate medical trainees in a large NHS foundation trust. Methods FY1 doctors were asked to complete a questionnaire to determine prior experience and self reported confidence in performing the GMC core competencies. From this a consensus panel of key partners considered and developed an 8 station Objective Structured Clinical Examination (OSCE) circuit to assess clinical competencies in all training grade medical staff... The OSCE was then administered to all training grade doctors as part of their NHS trust induction process. Results 106 (87.6% of all trainees) participated in the assessment during the first 14 days of appointment. Candidates achieved high median raw percentage scores for the majority of stations however analysis of pre defined critical errors and omissions identified important areas for concern. Performance of newly qualified FY1 doctor was significantly better than other grades for the arterial blood gas estimation and nasogastric tube insertion stations. Discussion Delivering a formal classroom assessment of clinical competencies to all trainees as part of the induction process was both feasible and useful. The assessment identified areas of concern for future training and also served to reassure as to the proficiency of trainees in undertaking the majority of core competencies

Probing the interaction between solid benzene and water using vacuum ultraviolet and infrared spectroscopy

We present results of a combined vacuum ultravioloet (VUV) and infrared (IR) photoabsorption study of amorphous benzene:water mixtures and layers to investigate the benzene-water interaction in the solid phase. UV spectra of 1:1, 1:10 and 1:100 benzene:water mixtures at 24 K reveal a concentration dependent shift in the energies of the 1B2u, 1B1u and 1E1u electronic states of benzene. All the electronic bands blueshift from pure amorphous benzene towards gas phase energies with increasing water concentration. IR results reveal a strong dOH-π benzene-water interaction via the dangling OH stretch of water with the delocalised π system of the benzene molecule. Although this interaction influences the electronic states of benzene with the benzenewater interaction causing a redshift in the electronic states from that of the free benzene molecule, the benzene-benzene interaction has a more significant effect on the electronic states of benzene. VUV spectra of benzene and water layers show evidence of non-wetting between benzene and water, characterised by Rayleigh scattering tails at wavelengths greater than 220 nm. Our results also show evidence of benzene-water interaction at the benzene-water interface affecting both the benzene and the water electronic states. Annealing the mixtures and layers of benzene and water show that benzene remains trapped within in/under water ice until water desorption near 160 K. These first systematic studies of binary amorphous mixtures in the VUV, supported with complementary IR studies, provide a deeper insight into the influence of intermolecular interactions on intramolecular electronic states with significant implications for our understanding of photochemical processes in more realistic astrochemical environments