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Purpose: The purpose of this paper is to examine a University's at risk program and ask is the intervention strategy working? The program seeks to assist at risk students who may be experiencing difficulties transitioning, for example from school into university. The program also seeks to identify problems and suggest remediation strategies before attrition. Design/methodology/approach: The effectiveness of the at risk programs is investigated across a population of at risk students from 2006 to 2010. Effectiveness is judged on the basis of outcomes in subsequent semesters where the University's preferred outcome is these students are not identified as at risk again. Findings: The authors have found that the program has some success in assisting students to improve their academic performance; though simply engaging in the process is not enough to ensure improvement. Other variables are at work. At risk students located in Melbourne appear to be far more likely to be at risk again than those in Singapore. Research limitations/implications: The at risk program is intended to be part of the University's total system of pastoral care. As such it is designed to assist struggling students to successfully complete their studies. With this in mind, this paper has investigated the influence of student engagement in the at risk program on future academic performance. Practical implications: This research assists Universities' implementation of pastoral care programs and notes the roles of student characteristics in "success" at University. Originality/value: To the authors' understanding no other research of this kind has been conducted. Much of the previous research focuses on attrition, students already lost to a program. This research focuses on those not yet lost to a program, but at risk. (Contains 2 tables and 1 figure.)

Unlabelled: For many families and their children, the use of complementary/alternative medicine (CAM) is an accepted adjunct or alternative to conventional therapy, even if data available in the literature regarding risks and adverse drug reactions (ADRs) pertaining to childhood populations are scarce. Moreover, despite widespread and increasing use of CAM, there are limited data on how paediatricians communicate with mothers and/or patients about CAM. Therefore, we report the studies available in the literature in the paediatric field and summarise what is known about ADRs and risks of CAM, taking into account in particular problems related to interactions between phytotherapy and conventional medicines and to counselling.Conclusion: from the analysis of the literature, some interesting aspects emerge: (1) the extent of CAM use in the paediatric field is increasingly sought by parents of children with chronic illnesses; (2) most parents who choose CAM medicine for their children believe that these therapies are "natural" and thus "safe" and (3) physicians often feel to know too little about CAM and wish to learn more for different reasons including "to dissuade whether the alternative method is unsafe and/or ineffective". Therefore, paediatricians should be prepared to discuss alternative therapies with parents, since talking about CAM may help to minimise the risks and to restrain parental misconceptions and doubts. Educational interventions for parents should also be performed to bring about a more aware use of traditional and alternative medicines. [ABSTRACT FROM AUTHOR]