Post-inpatient Attrition from Care “As Usual” in Veterans with Multiple Psychiatric Admissions

Disengagement from outpatient care following psychiatric hospitalization is common in high-utilizing psychiatric patients and contributes to intensive care utilization. To investigate variables related to treatment attrition, a range of demographic, diagnostic, cognitive, social, and behavioral variables were collected from 233 veterans receiving inpatient psychiatric services who were then monitored over the following 2 years. During the follow-up period, 88.0 % (n = 202) of patients disengaged from post-inpatient care. Attrition was associated with male gender, younger age, increased expectations of stigma, less short-term participation in group therapy, and poorer medication adherence. Of those who left care, earlier attrition was predicted by fewer prior-year inpatient psychiatric days, fewer lifetime psychiatric hospitalizations, increased perceived treatment support from family, and less short-term attendance at psychiatrist appointments. Survival analyses were used to analyze the rate of attrition of the entire sample as well as the sample split by short-term group therapy attendance. Implications are discussed

Recuerdos de metal: Cultura material y conflicto en el siglo XX

La guerra consiste en transformar la materia a través de la destrucción, y la guerra industrializada crea y destruye a mayor escala que en ninguna otra época de la historia humana. La guerra moderna tiene la capacidad de hacer, deshacer y rehacer materia, individuos, ciudades y naciones hasta un extremo sin precedentes. La gran cantidad de cultura material producida durante los conflictos del siglo XX y los extremos del comportamiento humano que suscita y que incorpora sugieren que el estudio de la materialidad relacionada con el conflicto es una área de investigación antropológica fundamental, a pesar de ser poco reconocida, poco investigada y poco teorizada.MEMORIES OF METAL: MATERIAL CULTURE AND TWENTIETH CENTURY CONFLICT. War is the transformation of matter through the agency of destruction, and industrialized war creates and destroys on a larger scale than at any time in human history. The totalizing effects of modern war can make, unmake, and re-make matter, individuals, cities, and nations to an unprecedented extent. The vast quantity of material culture produced during 20th century conflicts, and the extremes of human behaviours that it embodies and provokes suggests that the study of conflictrelated materialities is a vital if hitherto under-acknowledged, under-investigated, and un-theorized area of anthropological investigation.La guerra consiste en transformar la materia a través de la destrucción, y la guerra industrializada crea y destruye a mayor escala que en ninguna otra época de la historia humana. La guerra moderna tiene la capacidad de hacer, deshacer y rehacer materia, individuos, ciudades y naciones hasta un extremo sin precedentes. La gran cantidad de cultura material producida durante los conflictos del siglo XX y los extremos del comportamiento humano que suscita y que incorpora sugieren que el estudio de la materialidad relacionada con el conflicto es una área de investigación antropológica fundamental, a pesar de ser poco reconocida, poco investigada y poco teorizada

The Suez Crisis and British and French policy revaluations towards membership of the European Communities

This thesis attempts to demonstrate that, far from being of little or even no importance as some authors have argued, the 1956 Suez Crisis was an event of great significance to the evolution of British and French policies towards membership of the European Communities. It identifies a gap in the historiographies of the Suez Crisis and the European integration process, and seeks to fill it, while at the same time providing a new interpretation of the link between the two areas of historical focus. Using manuscript sources from English, French and American archives, as well as contemporary media articles and personal papers, it will present six ways in which Suez directly influenced the development of British and French policy towards the European Communities: by forcing the British government to review the country’s position in the world, by enhancing the career of Harold Macmillan, boosting that of Edward Heath, changing French attitudes towards the Common Market in late 1956, its role in the return to power of General de Gaulle, and the development of the French nuclear deterrent. It will conclude that not was Suez a significant factor, but that without it, there may not be a European Union today

Dramatic Interventions: A multi-site case study analysis of student outcomes in the School Drama program

For the last two decades a growing body of research has articulated the transformative potential of learning in, about and through The Arts (for example: Bamford, 2006, 2009; Catterall, Dumais, & Hampden-Thompson, 2012; Deasy, 2002; DICE, 2010; Ewing, 2019, 2010a; Fiske, 1999; Fleming, Gibson, & Anderson, 2016; Winner & Cooper, 2000). In particular, it is clear that there can be a powerful relationship between drama-based pedagogy and the enhancement of student literacies (for example: Baldwin, 2012; Baldwin & Fleming, 2003; Ewing, 2019, 2010a, 2010b; Ewing & Simons, 2016, 2004; Gibson & Ewing, 2011; McNaughton, 1997; Miller & Saxton, 2004, 2009, 2016; Podlozny, 2000). At the same time there has been a need to equip educators with the knowledge, confidence and expertise in the use of drama as critical, quality pedagogy (Ewing, 2002, 2006). This dissertation reports on research that has examined the process and outcomes of one teacher professional learning program, the School Drama program. School Drama is a teacher professional learning program developed through a partnership between Sydney Theatre Company and The University of Sydney’s School of Education and Social Work. The program’s dual aims are to provide primary classroom teachers with the knowledge, understanding, skills and confidence to use drama-based pedagogy with quality children’s literature and to improve student literacy in a designated focus area such as confidence in oracy, creative/imaginative writing, descriptive language or inferential comprehension. Based on a co-mentoring professional learning model (Ewing, 2002, 2006), a teaching artist works alongside a primary classroom teacher to co-plan, co-teach and co-mentor each other during seven weekly in-class workshops over a term using quality children’s literature and process drama-based strategies. The School Drama program has been operating for ten years (from 2009 to 2019) reaching over 30,000 teachers and their students across Australia. While a growing body of research has explored aspects of the program, relatively little focus to date has centred on the student outcomes. This research aimed to investigate the impact of the program on students. An analysis of all data collected in 2017 from a range of participating schools, teachers and students provides a top-level overview of the program’s outcomes. A fine-grained analysis of three case study classrooms in diverse school contexts follows. A range of data was collected from students, the class teacher and the teaching artist/researcher including: student pre- and post-program literacy benchmarking tasks; student pre- and post-program surveys; student focus groups; teacher interviews; and teaching artist/researcher observations and journals. ii While the findings suggest positive shifts in student English and literacy outcomes in the selected focus area (inferential comprehension), particularly in less able male students, perhaps even more importantly there is strong evidence that quality drama-based pedagogy enhances student confidence, collaboration, imagination, engagement and connection to character. A model is proposed to explain how drama-based pedagogy enables more holistic outcomes for students

Maximising export returns (MER): Communicating New Zealand's credence attributes to international consumers

This research used semi-structured key informant interviews with twenty-one European gatekeepers and twelve New Zealand exporters. Gatekeepers were defined as manufacturers, importers, distributors or retail customers who controlled the flow of product and information through the supply chain to the final consumer. The research indicated that the credence attributes of New Zealand food products were important to consumers but they were frequently filtered out through the distribution channel where products get further processed, repackaged and rebranded, or became an ingredient in another food product. As a result, a large percentage of New Zealand food exports arrived at the consumer unbranded and not identified with their New Zealand origin so they did not have New Zealand-specific credence attributes associated with them. The majority of New Zealand’s beef and dairy exports were unbranded commodities that entered the manufacturing sector as raw materials or ingredients for processed products. Likewise, significant proportions of lamb and venison exports entered the food service sector and were delivered to hotels, restaurants and institutions where they were, frequently, not identified to the consumer as being of New Zealand origin. The main products that were consistently branded and reached consumers with identification of New Zealand origin were kiwifruit, apples and wine

Cell cycle-mediated regulation of plant infection by the rice blast fungus.

Final published article deposited in accordance with SHERPA RoMEO guidelinesTo gain entry to plants, many pathogenic fungi develop specialized infection structures called appressoria. Here, we demonstrate that appressorium morphogenesis in the rice blast fungus Magnaporthe oryzae is tightly regulated by the cell cycle. Shortly after a fungus spore lands on the rice (Oryza sativa) leaf surface, a single round of mitosis always occurs in the germ tube. We found that initiation of infection structure development is regulated by a DNA replication-dependent checkpoint. Genetic intervention in DNA synthesis, by conditional mutation of the Never-in-Mitosis 1 gene, prevented germ tubes from developing nascent infection structures. Cellular differentiation of appressoria, however, required entry into mitosis because nimA temperature-sensitive mutants, blocked at mitotic entry, were unable to develop functional appressoria. Arresting the cell cycle after mitotic entry, by conditional inactivation of the Blocked-in-Mitosis 1 gene or expression of stabilized cyclinB-encoding alleles, did not impair appressorium differentiation, but instead prevented these cells from invading plant tissue. When considered together, these data suggest that appressorium-mediated plant infection is coordinated by three distinct cell cycle checkpoints that are necessary for establishment of plant disease

Zeitgeist Archaeology : Conflict, Identity, and Ideology at Prague Castle, 1918-2018

The discovery of a tenth-century AD high-status burial at Prague Castle in 1928 led to multiple identifications in the context of two world wars and the Cold War. Recognised variously as both a Viking and Slavonic warrior according to Nazi and Soviet ideologies, interpretation of the interred individual and associated material culture were also entangled with the story of the burial's excavator, the remains and commemorative monuments of two Czech Unknown Soldiers and the creation of the Czechoslovak state. This epic narrative reflects the circumstances of Czechoslovakia and Central Europe across the twentieth century.Peer reviewe