Telemedicine of family-based treatment for adolescent anorexia nervosa: A protocol of a treatment development study.

BackgroundFamily-based treatment is an efficacious treatment available for adolescents with anorexia nervosa. Yet the implementation of this treatment, at least in the United States, is challenging due to a limited number of trained family-based treatment therapists and the concentration of these therapists in a limited number of urban centers. The use of telemedicine in the delivery of family-based treatment can increase access to this therapy for this patient population.Methods/designThis two-year treatment development study (December 2013-November 2015) follows a two-wave iterative case series design. The study is ongoing and addresses the treatment needs of families in remote, rural, or underrepresented parts of the United States by delivering family-based treatment via telemedicine (video chat). The first six months of the study was dedicated to selecting a cloud-based secure telemedicine portal for use with participants. Recruitment for the first of two consecutive case series (N = 5) began during month seven. After these five patients completed treatment, a systematic review of treatment via feedback from participants and therapists related to the delivery of this model and use of technology was completed. A second wave of recruitment is underway (N = 5). At the end of both waves (N = 10), and after a second review of treatment, we should be able to establish the feasibility and acceptability of family-based treatment delivered via telemedicine for this patient population.DiscussionThis study is the first attempt to deliver family-based treatment for adolescents with anorexia nervosa via telemedicine. If delivering family-based treatment in this format is feasible, it will provide access to an evidence-based treatment for families heretofore unable to participate in specialist treatment for their child's eating disorder

Conspicuous Giving

When discussing charity, it is important to recognize that charity and other forms of giving are not solely done out of altruism, but can also be done out of greed and self promotion. It is especially important to recognize when those in power or those who have fame participate in this form of giving, because their actions may be emulated by others. This self aggrandizing giving has been done historically throughout multiple cultures as a way to gain or keep prestige, and also as a way to keep the boundaries between the classes strong. This is an important idea because, as I argue, giving as a way to gain public recognition and to keep social boundaries in place is still occurring today. This form of giving is what I label Conspicuous Charity. This is giving in which the main focuses of the participation in charity are the public and social benefits (such as prestige and recognition) to the givers, whereas the assistance to those in need is but a secondary benefit. The conspicuous use of charity also can take a broader approach, which I label Conspicuous Giving. This form of giving is presently being used as a way to keep those with fame, such as media celebrities, in the limelight, those with high standing in the global hierarchy at the top, and those at the top of the racial hierarchy separated from those at the bottom. In order to flesh out the concept of Conspicuous Giving, other forms of giving are also discussed such as Christmas gifts, bribes, and feasting. These cultural events are discussed within the context of multiple cultures as ways to show that using giving in a predatory manner is not a phenomenon unique to Western or even American culture. However, I argue that when it comes to this behavior, Americans are at the forefront of this movement into postmodernity

Concert recording 2017-12-06

[Track 1]. Allegro barbaro, BB63 / Béla Bartok -- [Track 2]. Etude in A♭ major, op. 25, no. 1 / Frédéric Chopin -- [Track 3]. Solo de concours, op. 10 / Henri Rabaud -- [Track 4]. Concerto no. 2 in F minor, op. 5. III. Rondo: Allegretto / Bernard Crusell -- [Track 5]. Premiere rhapsodie / Claude Debussy -- [Track 6]. Solo de concours, op. 10 / Henri Rabaud -- [Track 6]. Sonata for clarinet and piano. IV. Mässig bewegt / Paul Hindemith -- [Track 7]. Sonata for trumpet in B♭ major / Paul Hindemit

Enveloped and non-enveloped virus survival on microfiber towels

Background Handwashing is an important intervention which can reduce indirect disease transmission, however soap and water for handwashing purposes is not available in some low-resource regions. When handwashing with soap and water is not possible, individuals may use alternatives such as the Supertowel (a microfiber towel with an antimicrobial coating). Testing of viral inactivation as a result of antimicrobial treatment on the Supertowel, however, has been limited. The goal of this study is to provide information about the performance of the Supertowel’s antimicrobial treatment against viruses, which will help inform the use of the towels as handwashing alternatives. Methods We seeded the Supertowel and a regular microfiber towel with two bacteriophages (enveloped Phi6 and non-enveloped MS2) and monitored viral inactivation over time. Additionally, we assessed if temperature, humidity, whether the towel was initially wet or dry, or virus type had an effect on viral decay rate constants. Virus concentrations were measured repeatedly over 24 h. Results We found that neither towel type (whether the towel was a Supertowel or a regular microfiber towel) nor humidity were significant variables in our model of decay rate constants (P = 0.06 and P = 0.22, respectively). We found that the variables of temperature, whether towels were initially wet versus dry, and virus type were significantly different from 0, suggesting that these variables explained variance in the decay rate constant (P = 6.55 × 10−13, P = 0.001, and P < 2 × 10−16, respectively). Higher temperatures, dry towels, and enveloped viruses all resulted in increases in the decay rate constant. Conclusions Viruses seeded onto a Supertowel decay similar to viruses seeded onto a regular towel indicating that the virucidal potential of the Supertowel is minimal

Strong field ionization of small hydrocarbon chains with full 3D momentum analysis

Strong field ionization of small hydrocarbon chains is studied in a kinematic complete experiment using a reaction microscope. By coincidence detection of ions and electrons different ionization continua populated during the ionization process are identified. In addition, photoelectron momentum distributions from laser-aligned molecules allow to characterize the electron wavepackets emerging from different Dyson orbitals

Efforts at the Frontlines: Implementing a Hepatitis C Testing and Linkage-to-Care Program at the Local Public Health Level

The national Viral Hepatitis Action Plan recommends strengthening partnerships among health departments, community-based organizations, and health-care providers for hepatitis services. We implemented a hepatitis C virus (HCV) testing and linkage-to-care program through a local health department using similar strategies reported for HIV care

Concert recording 2017-11-30b

[Track 1]. Sonata for clarinet and piano. I. Mässig bewegt / Paul Hindemith -- [Track 2]. Concertino in E♭ major, op. 26 / Carl Maria von Weber -- [Track 3]. Five bagatelles for clarinet and piano, op. 23. I. Prelude / Gerald Finzi -- [Track 4]. Solo de concours, op. 10 / Henri Rabaud -- [Track 5]. Concerto no. 2 in E♭ major, op. 74. III. Alla polacca / Weber -- [Track 6]. Six studies in English folk song. II. Andante sostenuto (\u27Spurn point\u27) [Track 7]. III. Larghetto ( Van Dieman\u27s land\u27) in D modal minor [Track 8]. IV. Lento (\u27She borrowed some of her mother\u27s gold\u27) in D major / Ralph Vaughan Williams -- [Track 9]. Concerto no. 2 in F minor, op. 5. III. Rondo: allegretto / Bernard Crusell -- [Track 10]. Premiere rhapsodie / Claude Debussy -- [Track 11]. Fantasy for clarinet and piano / Carl Nielsen

Federal Policing Structures - Mexico and Comparisons, ID: DipLab1927216

This report examines Mexico’s drug and police culture while analyzing police cultures in similarly organized countries. Drugs and cartels have a long and violent history within Mexico and the problem is spilling over the border into the United States. With corrupt and insufficiently trained police forces, the ability to effectively fight the drug war is extremely limited. Both the United States and Mexico have worked together to try to combat these connected issues, but more needs to be done. Key recommendations were found by analyzing the bipartite structures in Brazil and South Africa with a focus on Armenia. These recommendations include the following: - Prioritize the interests of the people - Standardized training - Distinguish a disciplinary authority to investigate human rights violations - Practice community-based policing using well-trained officers - Senior National Guard positions not to be reserved for friends of political appointees - Improve communication and information sharing - U.S. Technology and systems recommendations - Appoint a cabinet level Drug Czar * Limitations to this research include the use of only online materials and database articles and journals

Integrating science and society through long-term socio-ecological research

La investigación ecológica a largo plazo (Long Term Ecological Research, LTER) maneja problemas que abarcan décadas o plazos más largos. El programa y su nombre formal comenzaron en Estados Unidos en 1980. Si bien los estudios y observaciones a largo plazo comenzaron tempranamente en 1400 y 1800 en Asia y Europa, respectivamente, el enfoque a largo plazo no se formalizó sino hasta el establecimiento de los programas de investigación ecológica de largo plazo en Estados Unidos. Estos programas han permitido experimentos a nivel de ecosistemas y comparaciones entre sitios que condujeron a una mejor comprensión de la estructura y funcionamiento de la biosfera. El enfoque ecosistémico holístico de esta iniciativa permite también la incorporación de la dimensión humana en la ecología, y recientemente ha dado lugar al nuevo concepto de investigación socio-ecológica de largo plazo (LTSER). Hoy los programas de investigación socio-ecológica a largo plazo existen en por lo menos 32 países (esto es, los miembros de la Red Internacional de Investigación Ecológica a Largo Plazo o ILTER (International Long Term Ecological Research). Sin embargo, la consolidación de la red internacional dentro del paradigma de investigación socio-ecológica a largo plazo todavía requiere: (1) inclusión de algunas regiones remotas del mundo que aún están poco representadas, como el suroeste de América del Sur; (2) modificaciones en el tipo de investigación realizado, tales como la integración de las ciencias sociales y naturales con las humanidades y la ética, y (3) la incorporación de las conclusiones y resultados dentro de los procesos sociales y políticos. En este contexto, la naciente red de investigación socio-ecológica a largo plazo en Chile, que se extiende en el rango latitudinal más largo de bosque templado en el Hemisferio Sur, agrega una nueva región remota a las investigaciones ecológicas de largo plazo que había sido pasada por alto anteriormente. Además, la colaboración con la Universidad de North Texas y otros asociados internacionales ayuda a desarrollar un enfoque interdisciplinario para integrar las ciencias ecológicas y la filosofía ambiental, junto con los conocimientos ecológicos tradicionales, la educación informal y formal, la política, las humanidades, los procesos socio-políticos y la conservación biocultural.</jats:p

Sub-Antarctic Biocultural Conservation Program

This article discusses field environmental philosophy and biocultural conservation methods at the Omora Ethnobotanical Park in the Cape Horn Biosphere Reserve in Chile