Perceptions of crisis care in populations who self-referred to a telephone-based mental health triage service

Although psychiatric crises are very common in people with mental illness, little is known about consumer perceptions of mental health crisis care. Given the current emphasis on recovery-oriented approaches, shared decision-making, and partnering with consumers in planning and delivering care, this knowledge gap is significant. Since the late 1990s, access to Australian mental health services has been facilitated by 24/7 telephone-based mental health triage systems, which provide initial psychiatric assessment, referral, support, and advice. A significant proportion of consumers access telephone-based mental health triage services in a state of crisis, but to date, there has been no published studies that specifically report on consumer perceptions on the quality and effectiveness of the care provided by these services. This article reports on a study that investigated consumer perceptions of accessing telephone-based mental health triage services. Seventy-five mental health consumers participated in a telephone interview about their triage service use experience. An eight-item survey designed to measure the responsiveness of mental health services was used for data collection. The findings reported here focus on the qualitative data produced in the study. Consumer participants shared a range of perspectives on telephone-based mental health triage that provide invaluable insights into the needs, expectations, and service use experiences of consumers seeking assistance with a mental health problem. Consumer perceptions of crisis care have important implications for practice. Approaches and interventions identified as important to quality care can be used to inform educational and practice initiatives that promote person-centred, collaborative crisis care.

Detailed Map and Recreational Suitability Assessment of the Colby Trail System

This map is designed as a resource for students and the public to use and develop a better understanding of the trails system on the Colby Campus. I used a Garmin GPSmap 60CS to chart all the trails on Runnals Hill and in the Arboretum. Then, using ArcGIS, I compiled the tracked trails and laid them over an aerial photo of the campus. Because many of the trails are hard to find, I took digital photos of each trail entry to help the user locate them. Then, by taking note of the grade and width of the trail, I decided which trails were suitable for certain activities. This gives users an idea of where to go for walking, running, mountain biking, cross-country skiing, and snowshoeing.

1988 Yearbook

Vol. 7; Sept. 1988; 109 p. b&w, color photographs TOC: Life at LaGuardia…2 / Activities and Events…17 / Faculty and Staff…33 / Activities at LaGuardia…49 / Graduation…71 Yearbook Committee Credits: Faculty Advisor, Vincent Banrey; Project Director, Catherine Whan; Editors: Alexandra Gomez, Juan Jimenez, GloryAnn Torres; Asst. Editor, Kenny Rosa; LAYOUT: Vincent Banrey, Marino "Tito" Cabrera, Shirley Chance, George Condors, Milton Ferreira, Maria Flores, Alexandra Gomez, Ana Lisa Gonzalez, Bernadette Henry, Juan Jimenez, Alejandro Meneses, Richard Provost, Kenny Rosa, Maria Sanchez, GloryAnn Torres, Catherine Whan, Alan O. Young; PHOTOGRAPHY: Peter Abbate, Sandra Acres, Young Baek Choi, Randy Fader Smith, Milton Ferriera, Alexandra Gomez, Juan Jimenez, Seymour Lerman, Chuck Lindsey, Victoria Pamias, Richard Provost, Alan Scribner, Frank Tocco, GloryAnn Torres, Catherine Whan. ART: Jose Marti (Cover Design and Division Pages); Martin Carrichner, Jose Marti (Endsheet Design), Arnold Escalera, Jacqui Fernandez, Richard Massey, Alejandro Meneses; WRITING: Anthony Archer, Alexandra Bastidas, Joie Fadde, Alexandra Gomez, Ana Lisa Gonzalez, Doreen Hansen, Bernadette Henry, Sarah Hudson, Juan Jimenez, Donna Libert, Cathy Passiglia, Jody Pincus, Richard Provost, Kenny Rosa, Maria Sanchez, Alan Scribner, Christiana Sommerville, GloryAnn Torres, Catherine Whan, Alan O. Young; SPECIAL THANKS: Blanca Arbito, Classic Studios, Edward Hollins, Umoja Kwanguvu, Kelly Johnson and the LaGuardia Archives, Andrew Saluga and Recreation Staff, Ted Schiffman of Taylor Publishing.

Estudo do comportamento mecânico de basaltos alternados do Rio Grande do Sul para emprego em pavimentos rodoviários

O trabalho compreende o estudo de basalto alterado, popularmente denominado basalto decomposto, visando a caracterização de seu comportamento mecânico para fins de emprego na estrutura de pavimentos. É investigada a aptidão de ensaios tradicionais em pavimentação para a avaliação de rochas basálticas alteradas. Para tal, foram selecionadas dez jazidas distribuídas sobre os derrames basálticos do Estado do Rio Grande do Sul. Tais jazidas são caracterizadas por seus índices físicos e descrições petrográficas com análise de lâminas delgadas. São utilizados os ensaios já tradicionais na engenharia de pavimentos, tais como ensaio de abrasão Los Angeles, e o ensaio de durabilidade ao sulfato de sódio, além de outros, de uso mais recente, como o ensaio de degradação do Estado de Washington e o de compressão puntiforme. Estes ensaios mostram-se parcialmente eficientes na seleção de rochas basálticas alteradas. A partir do ensaio de compressão puntiforme, é proposto um método para auxiliar na especificação de basaltos alterados para uso como base e sub-base em pavimentação. Este método mostrou-se concordante com os ensaios rotineiros. Baseado nos valores apresentados pelos basaltos estudados, estes aparentemente exibem qualidades que justificam seu uso em camadas de base e sub-base de pavimentos, sendo possível recomendar sua utilização, especialmente em rodovias coletoras com características de tráfego leve, reconhecendo-se que, ao nível atual de conhecimento, necessita-se de mais dados para avalizar o uso mais amplo.

Polyakanthos : processos composicionais

Este trabalho investiga os processos composicionais utilizados na composição das peças Polyakanthos, para flauta/flauta piccolo, clarinete/clarinete baixo, percussão, piano, violino e violoncelo; A grande ilusão do carnaval, para cinco vozes, fagote, dois teclados eletrônicos e contrabaixo elétrico; K'uei, peça eletroacústica; e Pampa Guarany, para fagote e orquestra de cordas. A estética das peças é baseada em dualismo complementar, fazendo com que posições contrárias coexistam numa associação interdependente, nas diversas etapas do processo composicional. Os processos composicionais enfocados são o ímpeto de criação, que no contexto deste trabalho é a primeira concretização da idéia composicional; a utilização de materiais preexistentes, definidos como configurações de sons e silêncios extraídos de obras de outros compositores; o projeto da estrutura formal, contendo as intenções expressivas em comparação com o resultado final de cada peça, verificando causas e conseqüências dos ajustes feitos durante o processo composicional; definição dos materiais de alturas e ritmos, derivados dos materiais preexistentes ou criados, nos quais foram aplicadas as técnicas de transformações de Arnold Schoenberg, León Biriotti e Charles Wuorinen; e o uso de peças-solo como cantus firmus para a criação de estruturas polifônicas nos movimentos de Polyakanthos.

Galaaz : a cristianização do herói do Graal

O objetivo deste trabalho é analisar e identificar a cristianização da novela de cavalaria portuguesa A Demanda do Santo Graal, na figura de sua personagem principal, Galaaz, em relação a dois outros romances: Perceval, de Chrétien de Troyes e Parsifal, de Wolfran von Eschenbach. Em nossa análise utilizamos os estudos de Mikhail Bakhtin, Walter Benjamin, Tzevetan Todorov, Arnold Hauser, Eric Auerbach e Joseph Campbell. É nosso propósito mostrar de que forma se deu a cristianização da figura do herói do Graal e de que maneira a Igreja estava ligada a esse projeto.

Taxação diferenciada sobre firmas, má alocação dos recursos e produto de longo prazo

O quanto e como a estrutura tributária adotada por um país pode afetar seu produto de longo prazo? Para tentar responder essa pergunta, usamos um modelo de crescimento neoclássico com plantas heterogêneas desenvolvido por Restuccia e Rogerson (2008). Separando as plantas em três diferentes subgrupos, as pequenas, as médias e as grandes, definimos estrutura tributária como sendo o conjunto de taxas cobradas sobre a receita de cada um dos tipos de planta. Partindo-se então de um equilíbrio de estado estacionário onde as plantas pequenas tem sua receita taxada em 18%, as médias em 30% e as grande em 50%, essa dissertação faz uma série de exercícios numéricos com o intuito de identificar possíveis ganhos/perdas de se alterar a estrutura tributária vigente.

Net Neutrality Compendium: Human Rights, Free Competition and the Future of the Internet

The ways in which Internet traffic is managed have direct consequences on Internet users’ rights as well as on their capability to compete on a level playing field. Network neutrality mandates to treat Internet traffic in a non-discriminatory fashion in order to maximise end users’ freedom and safeguard an open Internet. This book is the result of a collective work aimed at providing deeper insight into what is network neutrality, how does it relates to human rights and free competition and how to properly frame this key issue through sustainable policies and regulations. The Net Neutrality Compendium stems from three years of discussions nurtured by the members of the Dynamic Coalition on Network Neutrality (DCNN), an open and multistakeholder group, established under the aegis of the United Nations Internet Governance Forum (IGF).

Aberrant expression of E-cadherin and beta-catenin proteins in placenta of bovine embryos derived from somatic cell nuclear transfer

Abnormal placental development is common in the bovine somatic cell nuclear transfer (SCNT)-derived fetus. In the present study, we characterised the expression of E-cadherin and beta-catenin, structural proteins of adherens junctions, in SCNT gestations as a model for impaired placentation. Cotyledonary tissues were separated from pregnant uteri of SCNT (n - 6) and control pregnancies (n - 8) obtained by artificial insemination. Samples were analysed by western blot, quantitative RT-PCR (qRT-PCR) and immunohistochemistry. Bovine trophectoderm cell lines derived from SCNT and control embryos were analysed to compare with the in utero condition. Although no differences in E-cadherin or beta-catenin mRNA abundance were observed in fetal tissues between the two groups, proteins encoded by these genes were markedly under-expressed in SCNT trophoblast cells. Immunohistochemistry revealed a different pattern of E-cadherin and total beta-catenin localisation in SCNT placentas compared with controls. No difference was observed in subcellular localisation of dephosphorylated active-beta-catenin protein in SCNT tissues compared with controls. However, qRT-PCR confirmed that the wingless (WNT)/beta-catenin signalling pathway target genes CCND1, CLDN1 and MSX1 were downregulated in SCNT placentas. No differences were detected between two groups of bovine trophectoderm cell lines. Our results suggest that impaired expression of E-cadherin and beta-catenin proteins, along with defective beta-catenin signalling during embryo attachment, specifically during placentation, is a molecular mechanism explaining insufficient placentation in the bovine SCNT-derived fetus.

Calcium gluconate and sodium succinate for therapy of sodium fluoroacetate experimental intoxication in cats: clinical and electrocardiographic evaluation

Sodium fluoroacetate (SFAC) or Compound 1080 is a potent rodenticide, largely used after 1946 for rodent and home pest control. The toxic effects of SFAC are caused by fluorocitrate action, a toxic metabolite, which has a competitive action with aconitase enzyme, leading to citrate accumulation and resulting in interference in energy production by Krebs cycle blockade. In the present study, domestic cats were intoxicated with oral doses of fluoroacetate (0.45 mg/kg). The intoxicated animals presented emesis, diarrhea with abdominal pain posture and an abdominal palpation, tachypnea, bilateral midriasis, hypothermia, hyperexcitability and convulsions. Blood gas analysis indicated decreased pH and bicarbonate levels. Serum ionized calcium was also decreased. ECG showed non-specific changes in ventricular repolarization and ventricular arrhythmias. The survival rate was 75% in the treated group with calcium gluconate and sodium succinate and 37.5% in the non-treated group.

Brazilian natural dietary components (annatto, propolis and mushrooms) protecting against mutation and cancer

Considering the high number of new cancer cases in Brazil (approximately 470 000 cases in 2005) and the remarkable differences in the incidence of this disease around the world, the development of chemopreventive strategies using foods widely consumed would have a huge impact, both medically and economically. This review summarizes some of our studies conducted to verify the anti-mutagenic and anti-carcinogenic potential of some Brazilian natural dietary constituents (annatto, mushrooms, and propolis). Overall data have shown a clear role for these compounds in preventing mutation and specific preneoplastic lesions. Taken together, these agents indicate a favorable side-effect profile and may prove to be a promising alternative for cancer prevention strategies, although more investigation is needed to fully explore this issue.

Diuron-Induced Rat Bladder Epithelial Cytotoxicity

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Mode of Action of Pulegone on the Urinary Bladder of F344 Rats

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)