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OBJECTIVE: Describe a multilevel model of decontamination capacity for hospitals., DESIGN: Descriptive model., SETTING: Acute care hospitals with decontamination responsibilities., PATIENTS, PARTICIPANTS: None., INTERVENTIONS: None., MAIN OUTCOME MEASURE(S): None., RESULTS: This multilevel model of defining decontamination capacity would allow more realistic assessment of current capacity, allow for fluctuating service levels depending on time of day, incorporate realistic ramp-up and ramp-down of decontamination services, allow for a defined fall-back decontamination model should decontamination processes fail, allow hospitals to define long-term decontamination service level goals, and allow better understanding of when and why to focus on low-risk/low-resource patients rather than high-risk/high-resource patients., CONCLUSIONS: This multiple-level model would allow for more realistic and effective hospital-based decontamination service models and should become part of the national decontamination paradigm.

Firm up on the facts and considerations associated with acetaminophen toxicity.

In 1815 the United States was a proud and confident nation. Its second war with England had come to a successful conclusion, and Americans seemed united as never before. The collapse of the Federalist party left the Jeffersonian Republicans in control of virtually all important governmental offices. This period of harmony—what historians once called the Era of Good Feeling—was not illusory, but it was far from stable. One-party government could not persist for long in a vibrant democracy full of ambitious politicians, and sectional harmony was possible only as long as no one addressed the hard issues: slavery, race, western expansion, and economic development.Congress and the Emergence of Sectionalism: From the Missouri Compromise to the Age of Jackson inaugurates a new series for the United States Capitol Historical Society, one that will focus on issues that led to the secession crisis and the Civil War. This first volume examines controversies surrounding sectionalism and the rise of Jacksonian Democracy, placing these sources of conflict in the context of congressional action in the 1820s and 1830s. The essays in this volume consider the plight of American Indians, sectional strife over banking and commerce, emerging issues involving slavery, and the very nature of American democracy.“It is to be regretted that the rich and powerful too often bend the acts of government to their selfish purposes…. There are no necessary evils in government. Its evils exist only in its abuses. If it would confine itself to equal protection, and, as Heaven does its rains, shower its favors alike on the high and the low, the rich and the poor, it would be an unqualified blessing. In the act before me there seems to be a wide and unnecessary departure from these just principles.”—Andrew Jackson, Veto Message Regarding the Bank of the United States, July 10, 1832“I consider, then, the power to annul a law of the United States, assumed by one State, incompatible with the existence of the Union, contradicted expressly by the letter of the Constitution, unauthorized by its spirit, inconsistent with every principle on which it was founded, and destructive of the great object for which it was formed.”—Andrew Jackson, Proclamation Regarding Nullification to the People of South Carolina, December 10, 1832

Objectives: To engage a community to critically examine local health disparities. Design: Concept mapping is a tool used to rapidly assess the variations in thinking of large stakeholder groups' about a particular topic. Setting: Jackson, Mississippi. Participants: Community members. Methods: Dialog groups and community meetings were held, and participants were asked to respond to the statement, "A specific thing that causes African Americans to get sicker and die sooner is⋯" Aggregate responses were rated for importance and feasibility and then sorted into related groups. Aggregate sorts and ratings were then processed by using multidimensional scaling and hierarchical cluster analysis. Results: There were 132 (unduplicated) reported contributors to health disparities. These responses fell into eight general clusters: economic issues, government, contextual factors, cultural factors, HIV, stress, environment, and motivation. Factors respondents felt were the most important contributors to disparities (economic factors, contextual factors, stress) did not correlate with those that they thought were most likely to be changed in society (contextual factors, government, motivation). Conclusions: Concept mapping provided a mechanism for rapidly documenting community thinking about health disparities. This mechanism stimulated community dialog and was used as a first step toward the long-term goal of creating equal community, academic, and medical partnerships for addressing disparities. The concept mapping process stimulated critical thinking about contributors to health inequities and uncovered contextual factors previously unknown to researchers and public health planners. The process allowed for active engagement and exchange of knowledge between the community and researchers and allowed a mechanism for identifying and rectifying disconnects in knowledge within and between stakeholder groups.

This study compared elementary and special education teachers' knowledge of when K-3 students develop key reading competencies, their knowledge of who is responsible for teaching K-3 students key reading competencies, and teachers' perceptions of their own instructionally relevant competencies to those standards articulated within their state's blueprint for reading achievement. Results reveal a disconnect between teacher-held beliefs and state-articulated grade-level student literacy competencies. Results also suggest that teacher preparation programs are not preparing candidates to achieve mastery of essential teacher competencies articulated within their state's reading blueprint. Strengthening the accountability of teacher preparation practices to states' reading blueprint standards is recommended. Copyright © Taylor & Francis Group, LLC.

Many strategies and interventions exist in the education of young children with disabilities. One area of intervention is that of social interaction, including social skills instruction, peer interaction strategies, and play skills. Interaction and social skill strategies for use with children with and without disabilities for the purpose of increasing social interactions between children with and without disabilities in educational settings is an area many educators of early childhood special education strive to find in an effective and easy to implement format. Several strategies from research are presented in this article. Only strategies that were demonstrated to be successful through reported research are discussed. Strategies are identified according to their ease of implementation and effectiveness., (C)2008 Kluwer Academic Publishers

The Council for a Parliament of the World Religions has been meeting since 1993 to foster a global religious ethic toward world peace, based on the premise that major world religions share this ethic in common. Roland Robertson's multidimensional model of globalization is utilized to analyze the Parliament's foundational Declaration, and explore why the Parliament's message is not receiving wider attention. Excerpts from anti-Parliament sources are included. Based on this analysis, the Parliament appears to have a limited conception of globalization, and so offers but a partial knowledge claim on how religion can resolve global problems. Seen in this light, it is not surprising that some oppose the Parliament's agenda, feel alienated by it, or-given its limitations-are not aware of it.

Discussions pertaining to culture, power and/or identity frequently create tensions that are enacted by dyads and groups within schools, workplaces and communities. Although tensions can easily escalate into conflict or violence, we have observed that these tensions can serve as prompts that promote a change process. When individual perspectives are challenged, some participants are able to dissemble their views and consider other perspectives from which new understandings and views emerge. At times, when groups seem to be on the threshold of overt conflict, some participants engage in processes that examine the tension, explore new possibilities, and alter the view of one's subjectivity. We suggest that these activities occur as momentary states in psychological spaces conceptualized as third spaces (Bhabha, The location of culture. London: Routledge, 1994). In this paper, we use concepts from psychodynamic and social theories to describe the conditions that coalesce to form states of mind (nepantla) (Anzaldua, Borderlands/La Frontera: The new mestiza. San Francisco: Aunt Lute Books, 1999; Interviews Entrevistas. New York: Routledge, 2000) and the ability to engage in new relational possibilities (third space activities) with dyads and groups, outside of psychotherapy. The conditions include: critical consciousness, regulation, recognition, and responsibility. We then describe how such momentary experiences can subsequently result in an examination of one's subjectivity, particularly as it pertains to issues regarding culture, power, and identity. Throughout the paper we provide four examples from various settings to illustrate these concepts and processes. Given the increasing racial/ethnic diversity of clients and clinical social workers in North America, this concept of third spaces holds particular relevance for contemporary clinical social work practice., (C)2008 Kluwer Academic Publishers

This reflective article provides a window into one clinical social worker's experience of returning to school after becoming a mother. The convergence of two separate lives, those of mother and student, is explored through a psychodynamically-informed perspective. Challenges of integrating theories on mothering from an experience-near position are discussed.