Search

Introduction: In urban areas, numerous barriers exist for children and families to access needed behavioral health care. Compounding the general deficit of behavioral health workers in the United States is lack of access to culturally responsive care. Additional challenges include inherent racism and oppression in our health and human service systems and siloed approaches to behavioral health care training and practice. Integrated care is an emerging field nationally, yet training and education in integrated care is limited. This article provides an overview of the Child/Adolescent Interprofessional Practice and Education (CAIPE) program, a novel training approach in its first year of implementation for behavioral health students that prioritizes trauma-informed and socialjustice oriented practice, integrated care, and interprofessional teamwork. Method: This study employs a mixed-methods approach to program evaluation. Data sources include program application materials (demographics and data related to clinical interests, student goals, and preparedness for interprofessional work). Data is also drawn from measures of student outcomes (self-efficacy navigating complex care patients, empathy, and complex care knowledge). Results: Baseline data are reported for demographics, students' goals and interprofessional interests, and student outcomes. Information is also presented relevant to trainings conducted in the grant's first year and planned for subsequent years. Preliminary data and implementation suggest that the program has drawn diverse trainees who are committed to interprofessional, integrated care for underserved youth. Discussion: Recruitment and program development challenges are discussed, along with grant goals' fit with students' interests and plans for future evaluation. Keywords: behavioral health, interprofessional education, program evaluation, integrated care, trauma, In Philadelphia, 43% of households are below the Self Sufficiency Standard (Pierce, 2019). Those experiencing poverty, particularly those identifying as Black, indigenous, Latino, mixed race, and Asian (Nygreen et al., [...]

To characterize the differences between second trimester Down syndrome (DS) and euploid fetuses, we used Affymetrix microarrays to compare gene expression in uncultured amniotic fluid supernatant samples. Functional pathway analysis highlighted the importance of oxidative stress, ion transport, and G protein signaling in the DS fetuses. Further evidence supporting these results was derived by correlating the observed gene expression patterns to those of small molecule drugs via the Connectivity Map. Our results suggest that there are secondary adverse consequences of DS evident in the second trimester, leading to testable hypotheses about possible antenatal therapy for DS. antenatal therapy | Connectivity Map | gene expression | prenatal diagnosis | trisomy 21

We have developed a foreoptics module that converts the Submillimeter High Angular Resolution Camera generation II (SHARC-II) camera at the Caltech Submillimeter Observatory into a sensitive imaging polarimeter at wavelengths of 350 and 450 [micro]m. We refer to this module as 'SHARP.' SHARP splits the incident radiation into two orthogonally polarized beams that are then reimaged onto opposite ends of the 32 x 12 pixel detector array in SHARC-II. A rotating half-wave plate is used just upstream from the polarization-splitting optics. The effect of SHARP is to convert SHARC-II into a dual-beam 12 x 12 pixel polarimeter. A novel feature of SHARP's design is the use of a crossed grid in a submillimeter polarimeter. Here we describe the detailed optical design of SHARP and present results of tests carried out during our first few observing runs. At 350 [micro]m, the beam size (9 arc sec), throughput (75%), and instrumental polarization ( OCIS codes: 110.6770, 350.1260, 350.1270.

The discovery of fetal mRNA transcripts in the maternal circulation holds great promise for noninvasive prenatal diagnosis. To identify potential fetal biomarkers, we studied whole blood and plasma gene transcripts [...]

The hypothesis that pretreatment with amiloride would extend the duration of hypertonic saline-induced acceleration of mucus clearance and enhance improvement in lung function in patients with cystic fibrosis was tested. The findings reveal that inhalation of hypertonic saline four times daily provides a modest improvement in the lung function and respiratory symptoms without substantial adverse events.

A pilot study was conducted to determine whether cell-free fetal messenger RNA (mRNA) in amniotic fluid could be detected using oligonucleotide microarrays to study large-scale gene expression in living human fetuses. The study demonstrated that cell-free fetal mRNA could be extracted from amnioticfluid and successfully hybridized to gene expression microarrays.

Fetal cells enter the maternal circulation during all pregnancies and can stay in blood for years creating a state of physiologic microchimerism in the women. The detection of such microchimeric cells indicates that presence of fetal cells may have multilineage capacity.

Objectives. This study examined risk factors for congenital syphilis in South Carolina. Methods. Case infants with presumptive and confirmed congenital syphilis were compared with control infants born to women with reactive serologies during pregnancy, allowing investigation of risk factors for congenital rather than acquired transmission of syphilis. Data were collected from congenital syphilis report forms and birth certificates for 186 case infants and 487 controls born from 1991 to 1993. Odds ratios were calculated for maternal risk factors. Results. Significant statistical trends were found for timing of first prenatal visit and number of visits. Other significant factors included rural residence (odds ratio [OR] = 2.0, 95% confidence interval [CI] = 1.4, 2.9) and previous pregnancy loss (OR = 0.3, 95% CI = 0.2, 0.6). Conclusions. Prevention of congenital syphilis may be less effective among pregnant women with syphilis in South Carolina who have fewer prenatal care visits. Health care providers need further education on maternal/child syphilis management and techniques for motivating and educating patients. (Am J Public Health. 1998;88: 597-602)

A report on the two-stage epidemiologic study of a community population of young adolescents in the southeastern United States conducted between 1986 and 1988 by Garrison, Jackson, Addy, McKeon and Waller has been given. This study investigated family and psychological predictors of obsessive compulsive disorders (OCD) and subclinical OCD in young adolescents. Family cohesion was the only significant correlate of OCD in multivariate models (odds ratio= 0.95). Gender, race, age, socioeconomic status and undesirable life events were not found to be significant predictors of OCD.

Aeolian ripples, the smallest bedforms formed during saltation, cannot withstand even small topographical variations caused by the formation of mature forms which migrate downward. The grains are arranged according to their sizes, with big grains on ripple crests. Sudden, slightly upwind-dipping planar bounding where the laminae are graded inversely are typical to ripple arrangement. During saltation, a fraction of energy results in grain ejection, with the fine grains being ejected first. The coarse/fine grain proportion in the newly formed bed is less than or equal to the local bed orientation.

This article examines data from the survey commissioned in 2000 by the Office of the Inspector General to 'initiate an assessment of the environment at representative installations ... within each Military Department with respect to the application of the homosexual conduct policy.' Analyses are designed to describe patterns in the factors related to awareness of harassment incidents based on perceived sexual orientation, and to test specific hypotheses related to the factors likely to predict awareness. Findings indicate that higher-ranking personnel report less awareness of harassment based on perceived sexual orientation, and that the US Air Force has the lowest percentages reporting such incidents. Interestingly, women officers are more likely to report awareness of harassment--suggesting they may be more likely to view incidents as harassment, or may be less insulated from harassing incidents than male officers. Perhaps most important, harassment is seen to occur during the typical course of military duty experiences. Ultimately we argue that the 'don't ask, don't tell, don't pursue' policy prevents open interaction between members of different sexual orientations, and instead may serve to perpetuate negative stereotypes.

People working in various fields such as sociology, biology, ecology, economy, geography, or public health concentrated their attention upon spatial distributions. A special attention was given to their sensitivity to [...]

A new economic system is arising in the international economy. This new traditional economy simultaneously endeavors to have economic decision making included within a traditional socio-cultural framework, which is usually identified with traditional religion, while at the same time aspires to employ modern technology and to be included into the modern world economy to a certain degree. Activities in developing such a system were analyzed particularly with Islamic and neo-Confucian economic systems.