Transgene expression kinetics after transfection with cationic phosphonolipids in hematopoietic non adherent cells

Persons with chronic mental illnesses have a higher prevalence of medical illnesses and higher mortality rates than the general population. Those living in the community are usually linked with mental health services but are expected to manage their own medical care. The ability to manage their health care and the ability of "surrogate families" to assist them were measured among residents and staff of supervised community residences. In its surrogate role, the agency promoted routine health examinations and follow-up care. Its staff was a central resource for the residents, who sought out staff members for assistance with their health problems. However, residents and staff alike lack knowledge about health problems, medications, and approaches to modifying unhealthy lifestyle practices. Although residents identified lack of knowledge about sexually transmitted diseases as a major concern, staff indicated discomfort with this topic. These findings suggest the importance of supporting chronically mentally ill persons and residential staff in managing residents' health care functions.     

Violence against women: Psychiatric patient assaults on female staff.

Studied gender differences among caregivers assaulted by their clients in 2 settings: a psychiatric inpatient facility and 16 community residential house settings. Female staff were at risk in both settings. Same-gender assaults occurred more frequently than different-gender assaults, except in community residences, whereas assaults by male clients against female staff were more frequent than in inpatient settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Temporal architecture of violent incidents.

Five hundred five reports of violent incidents in British pubs and bars were studied by using logical pathway modeling to provide information on the processes underlying work-related violence. Logical pathway modeling is innovative in examining and mapping sequences in real incidents at a population level. The data reveal the most common pathway to be misbehavior by customers, intervention by staff (before any physically violent act), physical attack on staff, and injury to staff. The data also highlight the likelihood of further action after assailants have exited and identify stages in incidents at which most staff and customer injuries and damage to property occur. Results assist in the design of strategies to reduce the risk from future violence, particularly by training staff to recognize and to handle potentially violent situations and to maintain vigilance and security following problem incidents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of logistical resources on prereferral team acceptability.

This study investigated the impact of logistical resources on the acceptability of student assistance team consultation to school staff. Elementary and middle school staff (N = 113) completed a measure of the acceptability of prereferral intervention team procedures while also rating the importance of five logistical supports for effective team functioning. A multiple regression analysis showed that the team process was more acceptable to staff who perceived these teams to be effective for helping students and to those who identified three supports for effective teaming: sufficient staff training in team procedures, adequate numbers of staff, and ample time. Results are discussed in the context of prior investigations, directions for future research, and implications for school practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptions and responsibilities of clinical nurse specialists as educators

This study attempted to determine current involvement of clinical nurse specialists (CNS) in an educational function, their perceived adequacy for an educational role, and their future plans. About half of the 46 CNS who participated reported that acting as a consultant and providing assistance to nursing staff, and serving as a role model for nursing students were either very important or of utmost importance. Only 33% indicated that it was very important, or of utmost importance, to assist with clinical and theoretical teaching of nursing students. Although more than 50% of the respondents had taken courses in education, many felt inadequately prepared for their role. Only seven identified teaching as a current professional goal, while six respondents identified teaching as a five-year professional goal. Study implications relative to curricular pathways, course content, and academic advisement are discussed, as well as the need for a renewed emphasis on research in nursing education.     

A predischarge unit in a long-stay hospital for subnormality

A newly built residential ward in the grounds of a long-stay mental subnormality hospital was converted into a predischarge unit to cater for those patients who could probably be discharged after some special training. So far 31 residents have been trained over the past two years; 18 (58%) have been discharged to community residences, and five were waiting for discharge. The high success rate shows the value and usefulness of a predischage unit in a long-stay hospital, and also shows that a purpose-built building is not necessary so long as the staff have the initiative and will to succeed.     

Stressors of professionals and trainees at APA-approved counseling and VA medical center internship sites.

The purpose of this study was to assess the perceived stress experienced by professionals and trainees during psychotherapy and supervisory activities at American Psychological Association-approved university counseling center and Veterans Administration (VA) medical center internship sites. One hundred thirty-five staff members (90 professionals, 43 interns, 2 practicum students) from fourteen VA centers and 144 staff members (79 professionals, 37 interns, 28 practicum students) from twelve university counseling centers responded to a questionnaire used to assess perceived stress. In data analysis, we compared the stress of professionals and trainees. In secondary analysis, we compared stressors of staffs at VA and counseling centers. We also investigated beliefs that contributed to the stress experienced. Results indicate that professional staff find their experiences less stressful than do interns, who find their experiences less stressful than do practicum students. Also, VA staff members reported less stress than did counseling staff. Results are compared with previous research in this area, and previous conclusions regarding the universality of stressors are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A validity analysis of residential magnetic fields estimated from high-voltage transmission lines

Between November 1994 and May 1995, indoor power frequency magnetic fields of 407 residences in northern Taiwan were assessed by short-term on site measurements and by modeling computerized power lines information from high-voltage transmission lines. The study residences were selected according to the distance from the transmission lines with cutoff points of 50 meters (m), 100 m, and 150 m, which gave rise to four categories of residences. The analysis showed that the measured magnetic fields were higher than the calculated magnetic fields for most residences, especially for those with lower measured magnetic fields. The measured and calculated magnetic fields showed an agreement of 0.93 (intra-class correlation coefficient, [ICC] = 0.93) for the residences within 50 m of the transmission lines. The ICC declined with the distance from the transmission lines with a lowest ICC of 0.42 for the residences located more than 149 m away from power lines. When both measured and calculated magnetic fields were categorized into three levels with cutoff points of 1 milligauss (mG) and 2 mG, the indices of agreement were very similar for the three residential categories within 149 m of the lines with Kappa (K) between 0.51 and 0.55. The K for the residences more than 149 m from the lines was low at 0.29. The ICC and K observed from a reduced sample of 114 residences presumably representative of all residences in northern Taiwan with respect to the distribution of household magnetic fields was 0.90 and 0.64, respectively. Our data show that using exclusively computerized power lines information to assess residential magnetic fields exposure entails a certain degree of exposure misclassification, but in the absence of direct measurement, this way of doing provides reasonable estimates of magnetic fields exposure within 100 m of transmission lines.     

A ''Well Woman Clinic'' in Bangalore: one strategy to attempt to decrease the transmission of HIV infection

Samraksha, a non-governmental organization (NGO) in Bangalore, South India, was established in 1993 to take steps to control the spread of HIV infection. As a result of their interactions the Samraksha team recognized the urgent need for management of sexually transmitted diseases (STDs) as a crucial component of their work. Samraksha approached Action Health, a UK-based charity, for assistance. This paper outlines the needs assessment and the process of setting up a Well Woman Clinic for commercial sex workers (CSWs) and other vulnerable groups in Bangalore. The pilot project has been running for over a year and has gained credibility both with vulnerable women and with professionals. Furthermore it has officially become a government resource centre for the training of doctors and health-care staff in the management of STDs, and provides formal training sessions for the staff at each of the primary health-care centres in Bangalore. Thus STD management is being integrated with the current primary health-care provision for women throughout Bangalore. Factors influencing the successful development of such a service are considered.     

Parentline: A demonstration program for graduate practicum training and community service in clinical child psychology.

Describes a telephone consultation service for parents with questions about their children's developmental, behavioral, and learning problems. First-year graduate students participate as staff after having completed an intensive 10-wk training program that provides a knowledge and skill base in assessment, empathic responding, child development, parenting techniques, and change theory. Staff members learn to propose interventions that include providing information, developing individualized management programs, or offering referral assistance. Community utilization of the program as well as the impact of this practicum training experience on graduate students' professional development are discussed. (6 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Help seeking and the need for academic assistance.

The functional relation between the need for academic assistance and help seeking was examined in a university setting. Six hundred twelve students indicated their perceived need for academic assistance, expected grades, and provided self-reports of help-seeking behavior at the conclusion of an academic term. Results support the proposed curvilinear (inverted U-shaped) relation between help seeking and need for assistance. Rate of help seeking increased from low to moderate need, maximizing in the B– to C+ grade range, then decreased with high need levels. Reasons for minimal help seeking by failing students are discussed in terms of achievement attribution theory, helplessness, and self-worth. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A multidisciplinary approach to the treatment of child abuse

A multidisciplinary team of professionals and paraprofessionals provides an innovative therapeutic approach for the treatment of child abuse and neglect among a deprived and disadvantaged population of abusing mothers. The therapeutic approach stresses residential care for mother and child, behavior modification through corrective child care experiences, personality modifications through individual and group therapy, and environmental and social changes through staff assistance and education.     

Modeling oral reading fluency development in Latino students: A longitudinal study across second and third grade.

This study examines growth in oral reading fluency across 2nd and 3rd grade for Latino students grouped in 3 English proficiency levels: students receiving English as a second language (ESL) services (n = 2,182), students exited from ESL services (n = 965), and students never designated as needing services (n = 1,857). An important focus was to learn whether, within these 3 groups, proficiency levels and growth were reliably related to special education status. Using hierarchical linear modeling, the authors compared proficiency levels and growth in oral reading fluency in English between and within groups and then to state reading benchmarks. Findings indicate that oral reading fluency scores reliably distinguished between students with learning disabilities and typically developing students within each group (effect sizes ranging from 0.96 to 1.51). The growth trajectory included a significant quadratic trend (generally slowing over time). These findings support the effectiveness of using oral reading fluency in English to screen and monitor reading progress under Response to Intervention models, but also suggest caution in interpreting oral reading fluency data as part of the process in identifying students with learning disabilities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive-Behavioral and Humanistic Group Treatment for Children With Learning Disabilities: A Comparison of Outcomes and Process.

The authors of this study examined the outcomes and processes of 2 types of group treatment--cognitive-behavioral treatment groups (CBTG) and humanistic group therapy (HGT)--offered to 200 elementary schoolchildren in a center for students with learning disabilities in Israel. Results indicated that the addition of either type of group treatment to individual academic assistance was more effective than the latter alone on most measures. In fact, on the majority of measures, group treatment without academic assistance was more effective than just individual assistance. Finally, HGT was more effective than CBTG on most measures. Most of the outcomes were sustained at follow-up, and some even increased from termination to follow-up, although effect sizes were quite low. Process measures included the Client Behavior System and the therapist Helping Skills System, which were measured at 5 points in time. Differences between the 2 treatment types were revealed on both process measures, including differences in the growth curve of these behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress in medical students

The object of this study was to examine the main stressors experienced by students in an Irish medical school and their effects on the attitude of the students towards their training. It also determined the students' knowledge of how they could receive help and their attitudes towards seeking such help. Data was collected by an anonymous self-report questionnaire distributed to a fifth year medical school class in the Hilary Term of the academic year. These 63 students had chosen medicine as a career mainly because of vocational and academic factors and almost two thirds of them had always wanted to do medicine. However four were no longer happy with that choice. Fifty-four percent of them had felt like making a complaint on at least one occasion, but did not do so. The perceived problems were mainly verbal in nature. 41% said that this had affected their attendance. The main source of perceived mistreatment was consultant staff. Rates of perceived racial and sexual discrimination were low. Other stressors included examinations, financial issues and family issues. 52% of students did not know the process by which they could make a complaint and 30% felt that seeking help or advice from staff would be damaging to their future career. This study analyses these issues and suggests ways of addressing them.     

Hepatitis B virus transmission in an elementary school setting

CONTEXT: The risk of transmission of hepatitis B virus (HBV) in day care centers and schools is low. OBJECTIVE: To investigate the source of HBV transmission for an elementary school teacher with acute hepatitis B. DESIGN: Serologic survey for HBV infection among elementary school students, school staff, and household members of an HBV-infected teacher and student. SETTING: General community and elementary school. PATIENTS: Elementary school students and staff members and household members of an HBV-infected teacher. MAIN OUTCOME MEASURES: Elementary school students, school staff, and household members of an HBV-infected teacher were tested for markers of HBV infection. Samples positive for hepatitis B surface antigen (HBsAg) were tested for HBsAg subtype using monoclonal antibodies and examined for HBV DNA homology by polymerase chain reaction techniques. RESULTS: An HBV-infected student and the teacher were found to have the same HBV subtype (ayw1-2) and to have identical HBV DNA sequences. The teacher reported none of the usual risk factors for acquiring HBV infection, and none of her family members had been infected prior to her illness. The specific means of HBV transmission from student to teacher was not identified. Of 108 total children in the same grade as the HBV-infected student, 102 (94%) were tested for serologic markers of HBV infection, and none was positive. CONCLUSIONS: This investigation documented transmission from an HBV-infected student to a teacher in an elementary school setting without a reported overt percutaneous or permucosal exposure to blood or infectious body fluids. Transmission of HBV to other students or staff members in the school was not observed.     

Psychology, attitude shifts, and prison growth.

Comments on the article by C. Haney and P. Zimbardo (see record 1998-04417-001) regarding shifts in criminal justice and correctional policies in the past 25 yrs. The author discusses the shift from environmental situations to current person-centered, trait-fixated paradigms related to criminal justice. The author believes that, to be effective, psychologists should apply what is known about behavior change at the individual level while examining prison environments and testing them against rational alternatives. Furthermore, psychologists should not apply research and intervention skills only to vulnerable institutions and their residences and staff; they must also examine current policies that may actually contribute to collective harm. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Admission requirements, acceptance rates, and financial assistance in clinical psychology programs: Diversity across the practice-research continuum.

129 directors (80% response) of APA-accredited clinical psychology programs provided information pertaining to admission requirements, acceptance rates, financial assistance, and theoretical orientations. Summary data are presented and comparisons are made among 4 types of clinical programs: PsyD programs, practice-oriented PhD programs, equal-emphasis PhD programs, and research-oriented PhD programs. Clinical doctoral programs held similar expectations for undergraduate preparation in psychology, but robust differences emerged on preferred Graduate Record Examination scores, acceptance rates, and financial assistance. In the most extreme comparison (PsyD vs research-oriented PhD programs), students were 4 times more likely to gain acceptance but 6 times less likely to receive full financial assistance in PsyD programs. Implications of these results for potential graduate students and for the future of applied psychology programs are briefly discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Critical appraisal by reading for medical students--a case study from Pakistan

Doctors read literature to keep abreast of medical advances. A recommendation from the 1993 World Summit for Medical Education is that medical schools should teach medical students to critically appraise scientific reports. The Department of Community Health Sciences of Aga Khan University Medical College teaches basic research methods to medical students. This is now supplemented with "Critical Reading". Critical reading was first taught to 67 third year students between October, 1993 and May, 1994. A "validity check-list for critical readers" was introduced in a two week orientation consisting of three one-hour classroom sessions and four one-hour small group sessions. Thereafter, small groups met monthly to critique clinical epidemiological reports relevant to current organ system teaching. The students reading attitudes and critical appraisal skills were assessed through continuous assessment and a written final examination with questionnaire. All but three students passed the final examination (mean score (74%, standard deviation 12%). Sixty-four of 67 (96%) completed questionnaires. All (73% strongly) agreed that critical reading skills were essential, but only 30% strongly agreed that they had, indeed, mastered the skills. Ninety-seven percent (56% strongly) disagreed that year three was too early to start critical reading. Clinical teaching staff expressed interest in learning these skills. Students benefited from and enjoyed this first critical reading course. It strengthened ties between clinical and community health sciences teaching staff. The critical reading skills of the clinical teaching staff is being addressed in seminars to strengthen institutional research capacity.     

A child-centered management concept for families of children with cancer in the terminal phase. Cooperation with the established physician

For a period of more than a year children with incurable diseases and their families we observed at home during the final stage of the children's illness. The psychological assistance and the necessary medical care were guaranteed by the staff of the district attending clinic, the family doctors and the district home nurses. The results of this project show that the concept which takes into account the child's welfare at home, was practicable in all cases even in very serious disease right up to death.