The Perfect Storm of Trauma: The experiences of women who have experienced birth trauma and subsequently accessed residential parenting services in Australia

Background

There appears to be a chasm between idealised motherhood and reality, and for women who experience birth trauma this can be more extreme and impact on mental health. Australia is unique in providing residential parenting services to support women with parenting needs such as sleep or feeding difficulties. Women who attend residential parenting services have experienced higher rates of intervention in birth and poor perinatal mental health but it is unknown how birth trauma may impact on early parenting.

European Youth Gang Policy in Comparative Context

The past decade has seen increased reports of street gangs across a range of contexts. In Europe, anxieties over street‐based youth has led to the development of gang‐specific policies across a range of jurisdictions, most notably the UK. Following a similar pattern of policy mobility in criminal justice, many of these policies have origins in the US system. In this review of international gang policy developments, we critically examine a number of these policies in a comparative context ‐ including gang policing units and intelligence databases ‐ and interrogate their efficacy. Drawing on cogent examples from the UK, we argue for caution in adopting US gang intervention tactics due to the lack of empirical evidence relating to their applicability or efficacy, and the corresponding potential for discrimination toward the most marginalised and socially excluded children and young people in society.     

Assessment-Informed Intervention for Aphasia in an Older Adult: Transfer of Stimulus Control Procedure Considerations

The purpose of this study was to contribute to the small but growing literature on the rehabilitation of language for older adults, as well as evaluate the clinical utility of a functional approach to language assessment. The study included an assessment-based response profile that informed individualized treatment targets and prompt selection, and a multiple-baseline design across behaviors with an embedded multielement design was used to systematically compare two transfer of stimulus control procedures. Results suggested that the prompt-delay procedure resulted in positive treatment outcomes and provided valuable information on the implications of basing treatment goals on functional assessment.     

A meta-analytic review of leadership impact research: Experimental and quasi-experimental studies

In this study we set out to conduct a comprehensive quantitative research analysis of literature reporting results on the causal impact of leadership by focusing on examining what we refer to as ‘leadership interventions.’ We defined leadership interventions as those studies where the researcher overtly manipulated leadership as the independent variable through training, assignment, scenario or other means. Our focus included both examining experimental and quasi-experimental as well as lab and field studies conducted in public and private organizations. Our goal was to address a simple question: do leadership interventions have the intended impact and if so to what degree? We conducted a comprehensive review of the published and unpublished literature and uncovered 200 lab and field studies that met our criterion as leadership intervention studies. We report here the findings of a series of meta-analyzed effects comparing the relative impact of leadership interventions across intervention types, leadership theories, and several common dependent variables. Overall, leadership interventions produced a 66% probability of achieving a positive outcome versus a 50–50 random effect for treatment participants, but this effect varied significantly when assessing moderators such as type of leadership theory.     

Family group conferences: context,process and ways forward

This is the first part of a two‐part review of the literature, policy and practice relating to family group conferences (FGCs). This first paper explores the background, the global policy context, the theoretical foundations and the process of undertaking FGCs. The literature is extensive in relation to these elements of FGCs, unlike the limited literature relating to outcomes, which is examined in the second part of this review. In the subsequent review, we examine the issue of outcomes, research findings and explore future challenges in implementing FGCs.     

Elite Revisionists and Popular Beliefs: Christopher Columbus, Hero or Villain?

According to revisionist historians and American Indian activists,Christopher Columbus deserves condemnation for having broughtslavery, disease, and death to America’s indigenous peoples.We ask whether the general public’s beliefs about Columbusshow signs of reflecting these critical accounts, which increasedmarkedly as the 1992 Quincentenary approached. Our nationalsurveys, using several different question wordings, indicatethat most Americans continue to admire Columbus because, astradition puts it, "he discovered America," though only a smallnumber of mainly older respondents speak of him in the heroicterms common in earlier years. At the same time, the percentageof Americans who reject traditional beliefs about Columbus isalso small and is divided between those who simply acknowledgethe priority of Indians as the "First Americans" and those whogo further to view Columbus as a villain. The latter group ofrespondents, we find, show a critical stance toward modal Americanbeliefs much more broadly. We also analyze American history school textbooks for evidenceof influence from revisionist writings, and we consider representationsof Columbus in the mass media as well. Revisionist history canbe seen as one consequence of the "minority rights revolution"that began after World War II and has achieved considerablesuccess, but the endurance of Columbus’s reputation—toa considerable extent even among the minorities who have theleast reason to respect him—raises important questionsabout the inertia of tradition, the politics of collective memory,and the difference between elite and popular beliefs.     

ESTIMATION OF THE CONDITIONAL PROBABILITY OF TUBERCULOSIS GIVEN THE RESPONSE OF A MANTOUX TEST

For the planning of community tuberculosis, prophylaxis one must know the prevalence of tuberculosis (TB) infection as a function of response to the Mantoux intradermal tuberculin test; the standard test for indicating Mycobacterium TB infection. The skin induration size used to select individuals for prophylaxis must be chosen carefully, in view of the costs associated with carrying out and supervising such prophylaxis. The Mantoux test was used to obtain measurements on adolescents in metropolitan Victoria and on a small sample of adolescents with clinical TB. These data are employed to obtain estimates and to construct upper confidence bounds for the conditional probability of TB infection, given the level of Mantoux response. Two conservative methods are presented; one is ‘nonparametric’, the other ‘semiparametric’. The analyses indicate that for responses up to and including 13 mm, the probability of TB infection is less than.07 with ninety-five percent confidence.     

Associations between measures of health-related physical fitness and cardiometabolic risk factors in college students

abstract

Objective: To determine the influence of health-related fitness on cardiometabolic risk factors in college students. Participants: 75 traditional students (33 men and 42 women, 21.8±1.8 years old) at a university in southeastern U.S. Methods: Height, weight, waist circumference, body composition, blood pressure, lipids, glucose, insulin, c-reactive protein, and glucose tolerance were measured. Indices of insulin sensitivity were calculated. Aerobic and muscular fitness were measured. Regression and correlation analyses, and comparisons of cardiometabolic markers in low- vs high-fit participants were performed. Results: Men and women with low muscular fitness exhibited higher fasting insulin, and poorer insulin sensitivity index scores than those with high muscular fitness. In addition, women with high body fat percentage exhibited higher fasting and 2-hour insulin levels and lower insulin sensitivity index scores than those with low body fat percentages. Conclusions: College students possessing low levels of health-related physical fitness exhibited less favorable cardiometabolic risk profiles.     

An Infection Control Program for a 2009 Influenza A H1N1 Outbreak in a University-Based Summer Camp

Abstract

Objectives: Describe two 2009-H1N1 influenza outbreaks in university-based summer camps and the implementation of an infection control program. Participants: 7,906 campers across 73 residential camps from May 21–August 2, 2009. Methods: Influenza-like-illness (ILI) was defined as fever with cough and/or sore throat. Influenza A was identified using PCR or rapid-antigen testing. We implemented an infection control program consisting of education, hand hygiene, disinfection, symptom screening, and ILI case management. Results: An initial ILI cluster involved 60 cases across 3 camps from June 17–July 2. Academic Camp-1 had the most cases (n = 45, 14.9% attack rate); influenza A was identified in 84% of those tested. Despite implementation of an infection control program, a second ILI cluster began on July 12 in Academic Camp-2 (n = 47, 15.0% attack rate). Conclusions: ILI can spread rapidly in a university-based residential camp. Infection control is an important aspect of the medical response but is challenging to implement.