Inter-agency collaboration, service coordination, and the creation of successful partnerships among parents, teachers, and human services professionals continues to be a challenge for the development of responsive community-based systems of care for at-risk youth and their families. We explore how one inner-city neighborhood struggles to create successful community partnerships through traditional networking strategies. Our findings identify networking strategies that appear to work and those that do not. Recommendations for improving communication are provided. 相似文献
Oregon Violent Death Reporting System data were linked with Veterans Affairs (VA) administrative data to identify and describe veterans who completed suicide in Oregon from 2000 to 2005 (n = 968), and to describe their VA health care utilization in the year prior to death. Twenty-two percent had received health care in the VA system. Of these, 57% did not have mental health diagnoses and 58% had not seen mental health professionals. A larger proportion of those who accessed care were VA-enrolled and received service-connected disability benefits. Fifty-five veterans were hospitalized during the year prior to death. Of these, 33% completed suicide within 30 days of a hospitalization. Further development of suicide prevention strategies for veterans in the community, including general medical treatment settings, is indicated. 相似文献
This study examined medical students’ and house officers’ opinions about the Surgeon General’s “My Family Health Portrait”
(MFHP) tool. Participants used the tool and were surveyed about tool mechanics, potential clinical uses, and barriers. None
of the 97 participants had previously used this tool. The average time to enter a family history was 15 min (range 3 to 45 min).
Participants agreed or strongly agreed that the MFHP tool is understandable (98%), easy to use (93%), and suitable for general
public use (84%). Sixty-seven percent would encourage their patients to use the tool; 39% would ensure staff assistance. Participants
would use the tool to identify patients at increased risk for disease (86%), record family history in the medical chart (84%),
recommend preventive health behaviors (80%), and refer to genetics services (72%). Concerns about use of the tool included
patient access, information accuracy, technical challenges, and the need for physician education on interpreting family history
information. 相似文献
The freshwater snail Lymnaea stagnalis (L.) is considered a calciphile and exhibits reduced growth and survival in environments containing less than 20 mg/l environmental calcium. Although it has no apparent effect on survival at 20 mg/l, reducing environmental calcium increases metabolic demand, and as such we consider that this level of calcium acts as a stressor on the snail. We exposed snails to acute periods of low environmental calcium and tested their ability to form intermediate-term memory (ITM) and long-term memory (LTM) following one trial operant conditioning (1TT) to reduce aerial respiratory activity in hypoxic conditions. We also assessed whether there were changes in the electrophysiological properties of a single neuron, right pedal dorsal 1 (RPeD1), which has been demonstrated to be necessary for LTM formation. Following training in high (80 mg/l) environmental calcium, L. stagnalis formed ITM and LTM lasting 24 h and demonstrated a significant reduction in all activity measured from RPeD1; however when snails were exposed to low (20 mg/l) environmental calcium they were able to form ITM but not LTM. Although no behavioral LTM was formed, a partial reduction in RPeD1 activtiy measured 24 h after training was observed, indicating a residual effect of training. The strong effect that environmental calcium concentration had on physiology and behavior in response to training to reduce aerial respiration in L. stagnalis suggests that it is an element of gastropod husbandry that needs to be carefully considered when studying other traits. This study also indicates that L. stagnalis found naturally in low calcium environments may be less able to adapt to novel stressors than populations found in harder waters. 相似文献
Dissociation is a prevalent disorder in India, however there is a lack of evidence-based psychological interventions worldwide. The present paper includes two case studies of dissociative motor disorder with onset in the perinatal period, seeking treatment in the Indian tertiary mental health set-up. Both cases presented with disabling symptoms of paraparesis, and mutism in one. The case series discusses similarities in presentation, socio-cultural contexts, and the psychotherapeutic approach. The psychotherapy process is discussed in detail, with a focus on challenges encountered, therapist reflections and supervision. Insights from treatment are presented, including the melding of approaches, and sensitivity of interventions to the larger socio-cultural framework.
The spatial working memory system constantly updates spatial representations and many studies have focused on the underlying
principles of the encoding and maintenance of visual information. Here we investigated the question of how the production
of actions influences spatial working memory. Participants were given a task that required concurrent maintenance of two spatial
arrays, one encoded by visual observation accompanied with pointing movements, the other by only visual observation. Across
two experiments, movement during encoding was found to facilitate recognition of spatial arrays in a load-dependent manner.
The results suggest an action-based encoding principle within the working memory system, and possible underlying action-related
mechanisms are discussed. 相似文献
Efforts to assist older adults with cognitive deficits can take one of three paths: law, education or marketing. Legal protections have proved insufficient. Government educational efforts are typically dryly factual and likely to go unheeded. With the growing size of the older adult market, the independent efforts of both for-profit and social marketers to develop products and services that can help this population remain functionally healthy and independent are likely to be successful. Both governments and insurance companies should be motivated to help subsidize these entrepreneurial efforts given the considerably higher costs of caring for the elderly in an institution. 相似文献
Load theory predicts that concurrent working memory load impairs selective attention and increases distractor interference (N. Lavie, A. Hirst, J. W. de Fockert, & E. Viding). Here, the authors present new evidence that the type of concurrent working memory load determines whether load impairs selective attention or not. Working memory load was paired with a same/different matching task that required focusing on targets while ignoring distractors. When working memory items shared the same limited-capacity processing mechanisms with targets in the matching task, distractor interference increased. However, when working memory items shared processing with distractors in the matching task, distractor interference decreased, facilitating target selection. A specialized load account is proposed to describe the dissociable effects of working memory load on selective processing depending on whether the load overlaps with targets or with distractors. 相似文献