Challenges to family engagement: what can multisystemic therapy teach family therapists?
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Biomedical subjects
Publications and source records attributed to S B Stern.
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This article reviews the ethical and legal issues posed by statutory privileged communication. It addresses the implications of privileged communication for advanced psychiatric/mental health nursing research, education, and clinical practice. The author highlights how advanced mental health practitioners do not have privileged communication, and reviews efforts to change this in the state of Maryland.
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No difference have been observed in the properties of amyloid P-component (AP) and its serum counterpart (SAP) which might account for the deposition of the former in amyloidosis. Purified by nonselective techniques, preparations of AP and SAP were shown to have similar molecular weights and peptide composition, identical morphology in the electron microscope (EM) and to be antigenically indistinguishable. Both proteins were soluble in EDTA but readily precipitated in the presence of calcium ions, forming characteristic two-dimensional arrays in the EM. In serum however, SAP was not aggregated and sedimented at 9.5S in Ca2+ as did the purified protein in EDTA. Precipitation of purified SAP by calcium could be prevented by pretreatment with acid hydrolysates of agarose or SP Sephadex, matrices for which SAP has a calcium-dependent affinity. It is proposed that SAP circulates in combination with a low molecular weight natural ligand which prevents its aggregation. While the identity of natural ligand for SAP is as yet unknown, it is likely to resemble the glycosidic subunits in agarose.
A study was designed to determine the effect of the consumption of the nutritive sweetener aspartame on non-insulin-dependent diabetics. Forty-three adult diabetics between the ages of 21 and 70 completed a 90-day study; all were diabetics whose conditions were managed by diet and/or hypoglycemic agents. Participants in the blind study were instructed to continue their usual diet and to take two capsules of an assigned preparation three times daily with meals, either the aspartame or the placebo. The 1.8 g of aspartame administered is approximately three times the expected daily consumption of aspartame if used as a sweetener to replace sugar. Throughout the study subjects were examined for (1) symptoms of intolerance, (2) fasting plasma phenylalanine levels exceeding 4 mg/100 ml, and (3) deterioration of diabetic control. At the conclusion of the study subjects exhibited no symptoms that could be traced to the administration of aspartame or the placebo, and diabetic control was unaffected by the chronic administration of these substances. Aspartame seems to be well tolerated by non-insulin-dependent diabetics.
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Obviously, these suggestions are just the tip of the iceberg. If you allow yourself to relax and brainstorm, either alone or with your colleagues, you can create any number of variations and modifications to these ideas, not to mention a long list of your own. Whether you have some cobwebs that you've been meaning to clear out since you've been teaching for several years, or you've just begun to teach and need some tips, creative teaching strategies are certainly worth the effort--both for your learners and you.