RETURNEES: WHO ARE THEY, WHY ARE THEY (NOT) COMING BACK AND HOW SHOULD WE DEAL WITH THEM? Assessing Policies on Returning Foreign Terrorist Fighters in Belgium, Germany and the Netherlands. Egmont Paper 101, February 2018

Some 5000 men, women and children have travelled from Europe to Syria and Iraq since 2012. An estimated 1500 of these foreign terrorist fighters (FTF) have returned so far. Belgium, Germany and the Netherlands represent a third of European FTF and returnees. This report looks into the evolution of policies on returning foreign fighters in these three countries, comparing responses with regard to fighters that are still in the conflict zone, policies to deal with returnees in prison and attitudes towards the children of foreign fighters. It is the very first systematic and in-depth study into national approaches and policies vis-à-vis returnees. Its added value lies in the wealth of data, including data that has not been published before, and in the comparative angle

Indikatoren zur Ausbildung im Hochschulbereich : Studie zum Innovationssystem Deutschlands Nr. 10-2003

Dieser Bericht wurde im Rahmen der erweiterten Berichterstattung zur technologischen Leistungsfähigkeit Deutschlands im Auftrag des Bundesministeriums für Bildung und Forschung erstellt

Screening for Delirium in the Emergency Department

Abstract Delirium is a problem for many older adults who are acutely ill. Delirium often comes on suddenly, can be severe, and is often difficult to diagnose, especially in the presence of dementia. Missed delirium has a mortality rate of 30.8% and costs millions. What is the purpose of this study? Methods The 4A’s Test screening instrument was implemented and evaluated in the Emergency Department of a rural Midwestern hospital from May 1, 2019 through August 31, 2019. Results There were 122 participants in the study with 61 in each cohort. In 2018, three (5%) were diagnosed with delirium without a screening instrument. In 2019, 10 (6.1%) screened positive and were diagnosed with delirium. A Fisher’s exact test compared the 2018 and 2019 cohorts. The relationship between screening with or without a screening tool was statistically significant at the .05 level (p = 0.3227). A Fischer’s Exact Test was also performed on patients with and without previously diagnosed dementia. Twenty-two (36%) subjects had dementia and eight (13%) were positive with 39 (64%) subjects without dementia and seven (11.8%) screening positive. The relationship with and without a previous diagnosis of dementia was statistically significant at the 0.5 level (p= 0.2495). Implications for Practice The study found an 11.5% increase in recognition of delirium in the ED in general psychiatric presenting patients and an 18.5% increase in recognition of delirium in the ED in psychiatric presenting patients with a previous diagnosis of dementia

Instrumental and Emotional Social Support Intention and Utilization Among Pregnant and Postpartum Women During the COVID-19 Pandemic

Postpartum depression impacts 1 in 7 women across the U.S. As a whole population, between 10-16% of women are impacted by maternal depression during pregnancy or the first year postpartum. Those who experience postpartum depression are at risk for repeated depressive episodes and a lower quality of life over time. The postnatal period may reflect the most vulnerable time for mental health concerns such as anxiety and depression. Fear, judgment, and perceived criticism are commonly named as barriers that delay the mobilization of support. There is a prevailing perception that postpartum depression is a normal part of motherhood which may limit women’s ability to seek and receive necessary care. The COVID-19 pandemic has impacted the day-to-day lives of pregnant women who are considered a high-risk group for poor clinical outcomes for COVID-19 infection. Loss of income, employment, and benefits due to pandemic restrictions are potential additional stressors that pregnant and postpartum women are burdened with navigating, which may increase risk of developing PPD. The influence of social support, social networks, and social integrations has been measured in a variety of ways. The terms are often used interchangeably to refer to the same concept: utilizing relationships to positively influence mental and physical health. The Stress Buffering Pathway acknowledges individuals may still experience stress or stress-related behaviors, but the utilization of social support can decrease the affiliation between stress and physical health outcomes. Postnatal social supports can range from lactation consulting, contraceptive counseling, maternal support services, and even support groups. This study utilized an extant data set (n = 239) from the research study, “Pregnancy and Childbirth During a Pandemic: The Impact of COVID-19.” A quantitative non-experimental cross-sectional design was conducted to explore associations among loss of expected social support and postpartum Edinburgh Postnatal Depression Scale (EPDS) scores. Results from the measures indicate a significant result of impact from loss of expected social support and increased postpartum EPDS scores. The results of this study may influence further action and research into sustaining maternity support services and programs for the pregnant and postpartum population

Strips

The PURPOSE OF THE THESIS is to utilize the human figure in movement as recorded over an extended period of time to create photographic panoramas of flowing, anamorphic design

The Influence of Stressful Life Events on the Development of Type 2 Diabetes

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM. Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran and non-veteran subsamples, as well as determine the influence of distress and social support in the presence the established risk factors of age, BMI, and genetic risk for diabetes. The average subject’s hemoglobin A1c (HbA1c) was 8.3%, BMI was 34.1, ESSI score was 15, and RLCQ score was 297.6 LCU. Twenty-nine subjects were diagnosed with a mental illness. Age and BMI had significant influence on the development of T2DM for the sample (β=-.241, p=.031 and β=-.293, p=0.10, respectively) while distress was not significant (β=-.040, p=.721). The mean HbA1c for the subgroups were significantly different (t=2.768, p=.007) The differences in age, BMI (t=-1.158, p=.250), GRD (t=-1.279, p=.206), and RLCQ scores (t=-.487, p=.628) were not significantly different

Influence of stressful life events on the development of type 2 diabetes

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM. Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran and non-veteran subsamples, as well as determine the influence of distress and social support in the presence the established risk factors of age, BMI, and genetic risk for diabetes. The average subject\u27s hemoglobin A1c (HbA1c) was 8.3%, BMI was 34.1, ESSI score was 15, and RLCQ score was 297.6 LCU. Twenty-nine subjects were diagnosed with a mental illness. Age and BMI had significant influence on the development of T2DM for the sample (β=-.241, p=.031 and β=-.293, p=0.10, respectively) while distress was not significant (β=-.040, p=.721). The mean HbA1c for the subgroups were significantly different (t=2.768, p=.007) The differences in age, BMI (t=-1.158, p=.250), GRD (t=-1.279, p=.206), and RLCQ scores (t=-.487, p=.628) were not significantly different