Cold-related injuries in a cohort of homeless adults

People experiencing homelessness have an increased risk of cold-related injuries. This study determined the rate of emergency department (ED) visits for cold-related injuries among homeless adults and low-income controls in Toronto, Canada. Homeless individuals were recruited at shelters and meal programs. Age- and sex-matched controls living in low-income neighborhoods were selected. ED utilization was ascertained over 4-years of follow-up (2005–9) using administrative databases. A total of 16 ED visits for cold-related injuries were observed among 587 homeless men and 296 homeless women. The rate of ED visits was 6.7 (95% CI, 4.2–12.4) per 1000 person-years of observation among homeless men and 0.9 (95% CI, 0.03–5.6) among homeless women. ED visit rates were significantly higher among homeless men compared to low-income men (P?<?0.001) and significantly higher among homeless men compared to homeless women (P?=?0.03). Targeted public health interventions are needed to reduce the risk of cold-related injuries among people experiencing homelessness.     

Merging Micro and Macro Intervention: Social Work Practice With Groups in the Community

Clinical or micro intervention predominates in social work education and practice. The prevailing assumption in social work practice and education is that one engages in either micro or macro intervention. In this article, we describe how these interventions may be merged into an integrated whole through social work practice with groups. The conceptual and evidence base of community work is summarized, as are efforts to identify practice skills that overlap both approaches. We assert that group work is ideally suited to promote individual empowerment and community change. Case examples illustrate the relative ease with which tasks and skills of group work at the micro level can be used in group work practice in the community. Implications for social work education are discussed.     

Multiple discrepancies theory (MDT)

A fairly thorough account of multiple discrepancies theory (MDT) is presented, with a review of its historical antecedents and an examination of its strength in accounting for the happiness (H) and satisfaction (S) of nearly 700 university undergraduates. Basically, MDT asserts that H and S are functions of perceived gaps between what one has and wants, relevant others have, the best one has had in the past, expected to have 3 years ago, expects to have after 5 years, deserves and needs. MDT explained 49% of the variance in H, 53% in global S and 50% or more in 7 out of 12 domain S scores. The domains studied were health, finances, family, job, friendships, housing, area, recreation, religion, self-esteem, transportation and education.     

The Cgmanova Model

The Completely General MANOVA (CGMANOVA) model may be used to analyze many complex designs including the GMANOVA, EGMANOVA, MSUR models, the multivariate seemingly unrelated growth curve model, and numerous other designs that do not have closed form solutions using the likelihood ratio method. In this paper we review the theory of the CGMANOVA model and compare 11near model likelihood test results with the Wald statistic.     

Some constructions for PBIBDs

New families of group divisible designs have recently been constructed by Bush, by Kageyama and Tanaka, and by Bhagwandas and Parihar. Their constructions are generalised here.     

The influence of the organization on clinical practice

Almost all, if not all clinical decisions represent agency policy and organizational imperatives in action. The organization influences and shapes services, problem definition, assessment and intervention, and careers of clients. This paper explores ideas about the organizational context of practice, organizational problems and related issues, and offers suggestions for increasing the clinician's influence and effectiveness.