Strangers are friends I haven't met yet: a positive approach to young people's use of social media

This article reports on a recent research project undertaken in the UK that investigated young people's use of a range of prominent social media tools for socialising and relationship building. The research was conducted by a way of online survey. The findings suggest that this sample of British young people's socialising and relationship-building practices via the range of prominent social media tools reflect similar behavioural categories used offline. The use of these social media tools provides young people with an opportunity to manage, simultaneously, different categories of relationships in a multiplicity of ‘spaces’ created by these tools. The findings challenge the widely held belief that young people expose themselves to risk on social media as they indiscriminately befriend strangers. There is an absence of evidence of ‘unjustified’ intent to harm others. Indeed the findings indicate a strong desire to primarily support and protect those with whom relationships have been carefully established. The research suggests in fact that online engagement through social media can be positive and constructive for young people. It appears to provide them with a challenging ‘space’ to practice identity and relationship management strategies.     

Efficacy of newer medications for lower urinary tract symptoms attributed to benign prostatic hyperplasia: a systematic review

We conducted a systematic review to evaluate the efficacy and adverse effects of newer drugs used to treat lower urinary tract symptoms (LUTS). The drugs were either Food and Drug Administration (FDA) approved for benign prostatic hyperplasia (BPH) or not FDA approved for BPH but have been evaluated for treatment of BPH since 2008. We searched bibliographic databases through September 2017. We included randomized controlled trials (RCTs) lasting one month or longer published in English. Outcomes of interest were LUTS assessed by validated measures. Efficacy was interpreted using established thresholds indicating clinical significance that identified the minimal detectable difference. Twenty-three unique, generally short-term, RCTs evaluating over 9000 participants were identified. Alpha-blocker silodosin and phosphodiesterase type 5 inhibitor tadalafil were more effective than placebo in improving LUTS (moderate strength evidence) but these drugs had more adverse effects, including abnormal ejaculation (silodosin). Anticholinergics were only effective versus placebo when combined with an alpha-blocker. Evidence was generally low strength or insufficient for other drugs. Evidence was insufficient to assess long-term efficacy, prevention of symptom progression, need for surgical intervention, or long-term adverse effects. Longer trials are needed to assess the effect of these therapies on response rates using established minimal detectable difference thresholds, disease progression, and harms.     

A New Look at Inequality: Introducing and Testing a Cross-Sectional Equality Measurement Framework in New York City

Inequality is a characteristic of societies worldwide, and many groups face disparities across a range of domains from economy to health to justice. While inequality is a complex problem in which many of these domains are interconnected, most research examines only one area, or at most the effect of one area on another. This paper details an innovative approach to studying inequality using an indicators methodology. The Equality Indicators are comprised of 96 measures of inequality and how it changes annually across six themes: Economy, Education, Health, Housing, Justice, and Services. It compares the experiences of those most likely to be adversely affected by inequalities to those of less disadvantaged groups. Here, we detail the development of the tool, its structure, data sources, and scoring system, followed by baseline findings from New York City, where we combined administrative and secondary public survey data with the data from a new public survey conducted for this study. We found substantial inequalities across all six themes, although they were most pronounced in Health and Justice. While we are not able to make direct comparisons of indicators in a given year, the intention of the tool is to track change over time; in future years we will be able to compare change or lack thereof across indicators and domains. The current findings across areas, however, suggest that New York City is characterized by vast inequalities, where disadvantaged groups are twice as likely as others to experience negative outcomes in fundamental areas of life.     

A Successful Debrief Program for House Staff

Challenging end-of-life encounters can be stressful and may lead to burnout. Monthly debriefing sessions are led by a physician and clinical social worker (LCSW). Sessions focus on experiences and emotional reactions rather than case details. Themes identified included; feeling unsupported after difficult deaths, identifying with patients emotionally, and conceptualizing a “good” versus “bad” death. Debriefing provides opportunities for residency physicians to reflect on the affective side of their work and helps promote resiliency.     

The Effect of a Mediation-Blocking Task on the Acquisition of Instructive Feedback Targets

The Analysis of Verbal Behavior - The inclusion of instructive feedback in discrete-trial training has been shown to increase the efficiency of learning. However, the behavioral mechanism...     

Effective strategies for socio-educational intervention during the process of transition to adult life of unaccompanied minors from Africa

The arrival of unaccompanied minors from Africa in Spanish territory has been a constant since the last decade of the twentieth century. This migratory phenomenon has forced the child welfare system to attend to thousands of migrant children. The transition to adult life is a decisive stage in overcoming the situation of social exclusion. This research aims to analyse which socio-educational intervention strategies are effective during the process of transition to independent living with unaccompanied minors of African origin. We designed a qualitative research according to the grounded theory, which we divided into two phases. Twenty-nine young people (26 men and 3 women) participated. In phase 1, we performed two focus groups (N = 11), and in phase 2, we conducted longitudinal follow-ups (N = 18) for 24 months through 180 interviews. The results indicate the effectiveness of designing socio-educational accompaniment, prioritizing spaces of trust from which to attain the goals of emancipation. Young people consider effective those strategies that favour their knowledge of the social, labour and legal reality of the host society, designed considering each minor's individualized situation. We concluded that professional involvement acts as a buffer, reducing the bureaucratic obstacles implemented by the Spanish government.