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Victoria Carmen Sonne, née le  à Copenhague (Danemark), est une actrice danoise.

Biographie

Victoria Carmen Sonne étudie à l'École nationale de théâtre du Danemark à Copenhague.

Filmographie partielle

Récompenses et distinctions

 Bodil de la meilleure actrice dans un second rôle 2017 pour I blodet
 Prix Robert de la meilleure actrice dans un second rôle 2018 pour Vinterbrødre (Winter Brothers)
 Bodil de la meilleure actrice 2019 pour Holiday

Notes et références

Liens externes

 « Victoria Carmen Sonne » sur ddsks.dk

Actrice danoise du XXIe siècle
Naissance en avril 1994
Naissance à Copenhague
Bodil de la meilleure actrice
Bodil de la meilleure actrice dans un second rôle

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Last week it was announced that Sid Meier's Civilization 6 would be coming to the Nintendo Switch. For those who are curious about what the game will look like, you might be pleased to learn that during Nintendo's recent Direct presentation, the company has since released a trailer for the upcoming game.
This particular version of the game will also come with all the DLCs and updates that have been released for the game to date. This seems to be more or less standard practice when it comes to releasing older games onto modern day devices, and it will also save gamers time and money from having to buy all the DLCs themselves.
There will be support for local co-op modes and competitive play. The game is currently set for a release on the 16th of November, 2018, so keep an eye out for its release if this is something you think would be great on the Switch.


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The future is female – women in STEM in South Africa
5 min read • February 11, 2021
Jacqui Smit – Copywriter
When people think of science, technology, engineering, or maths, they tend to think only of bespectacled old, bearded men. The truth is, though, that women have been pioneers in STEM fields since humans invented them! While sadly often overlooked or forgotten in the annals of history, women have made invaluable contributions to science throughout the millennia and continue to do so to this day!
As 11 February is the International Day of Women and Girls in Science, let's look at what amazing things some South African women are doing in these fields today!
Youngest working doctor in SA
At the end of last year, Thakgalo Thibela received her Bachelor of Medicine and Surgery, which is already no mean feat. But what makes her achievement extraordinary is that Dr Thibela is only twenty-one years old, making her the youngest working doctor in South Africa today! Although she is currently on the frontlines of the COVID-19 pandemic at the Helen Joseph Hospital in Johannesburg, she aims to specialise in neurosurgery when she gets the opportunity to do so. Speaking of her incredible achievements, Dr Thibela has said: "It's a reminder to all the young girls that we are capable of being whatever we want."
"It's a reminder to all the young girls that we are capable of being whatever we want."
A princess AND a nuclear physicist
A princess AND a nuclear physicist? Senamile Masango is proof that women can do it all! Born into Zulu royalty in Nongoma, Kwa-Zulu Natal, this phenomenal young woman soon developed a fascination with the starry skies and outer space. Having obtained her masters at the end of 2019, she is now working toward her doctorate in nuclear physics. Masango is the first African woman ever to have worked on a project at CERN, the European Organisation for Nuclear Research in Switzerland.
She has also established a non-profit organisation, the Senamile Masango Foundation, which provides programmes to women and young schoolgirls, aimed at increasing the number of highly qualified and competent women in STEM across the continent.
Breaking the glass ceiling
Breaking the glass ceiling in any industry is tough, let alone a field as male-dominated as Mathematics, but in 2002, Professor Mamokgethi Phakeng became the first black woman to obtain her doctorate in mathematics education. Since then, she has been the vice-principal of research and innovation at UNISA, the acting executive dean at the College of Science, Engineering and Technology at UNISA, and is currently the vice-chancellor of the University of Cape Town. Last year, she was named one of Times Higher Education's (THE) 10 People of the Year – the only African on the list!
Dreaming big
Tebogo Lebelo is a second-year PhD student in human genetics, focusing on prostate cancer research. Knowing that what she does will bring a significant change in people's lives fuels Lebelo's love for her work and drives her to work even harder to contribute to a better life for cancer patients. "I love cancer research because it helps us understand and tackle this global health burden. We look into ways to better diagnostics and contribute to treatment solutions, ways that can be translated from the lab to hospital [bench to bedside]."
Pictured above: Tebogo Lebelo
When she was in high school, a programme on SABC 2 called Women in Science played a considerable role in Lebelo's career choice. It made her believe that she can dream big.
"From that day, I just saw myself in a lab coat 'making magic' [creating solutions for issues in the health system]. I wanted to be 'the hero in a lab coat' because we all know that not all heroes wear capes. We need more of those shows for our young girls, to inspire and encourage them that science is for us. It is not something to shy away from but to engage in."
"Science is for us."
Morongoa Ngoasheng, who completed her MSc (majoring in atmospheric chemistry) with distinction, also encourages young women to dream big. "They are going to try to discourage you, make you question everything that you are going to do, don't let them, focus on your dreams". Ngoasheng is currently working as a chemistry graduate at a global mining company and says that her love of chemistry is growing the more she works in the field.
Pictured above: Morongoa Ngoasheng
"By Africans, for Africans"
"By Africans, for Africans" – that's the motto of Johannesburg software designer Charlette N'Guessan Desiree. As facial recognition technology becomes globally ubiquitous, N'Guessan Desiree noticed that many Africans are sceptical of this new advance in technology. The 27-year-old realised that people across the continent would be less suspicious of similar technology developed by someone from the continent. Thus she set out to design African-specific software with her company, BACE Group. Last year September, she won the Royal Academy of Engineering's Africa prize for engineering innovation – the first woman ever to win the award!
https://www.iol.co.za/saturday-star/news/at-just-21-dr-thakgalo-thibela-becomes-one-of-sas-youngest-doctors-ca2c9b5c-3dd9-4527-acdf-df919e6a35c7
https://www.iol.co.za/capeargus/news/how-senamile-masango-went-from-rural-nongoma-to-a-degree-in-nuclear-physics-20553543
Teacher shares what it's like teaching during lockdown
Homeschooled celebrities who found success
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'Naruto' Creator Reveals 'Something Huge' Will Happen In Boruto In 2018
admin December 25, 2017 Naruto
Masashi Kishimoto brought Naruto to an end sometime ago, but the franchise has yet to die down. The series lives on through Boruto: Naruto Next Generations, and Kishimoto is keeping a close eye on the sequel nowadays. So, it is no surprise to find the creator teasing fans about some new developments for Boruto.
Recently, Jump Festa went down in Tokyo, and the event drew in some of shonen's biggest names. Franchises like Dragon Ball and My Hero Academia were thrust into the spotlight, and Naruto was no exception. During its panel, the franchise shared a letter penned by Kishimoto, and it was there the creator teased fans about what is to come in 2018.
At this year's Jump Festa Kishimoto shared some very interesting things, and we got to hear a lot about Boruto, and Naruto as well. During this Jump Festa, the Naruto franchise read a letter by Kishimoto Sensei, and he had a lot to say about what's to come in 2018 in Boruto.
"To everyone who came out to JUMP FESTA thank you for being here, even if it's been cold lately. Truly, isn't it pretty cold? But seriously, thank you so very much. I'm the original creator, Masashi Kishimoto. During 2017, I was deeply moved by Boruto. Not by just the manga, but also by the beginning of the TV anime. It was a year filled with many exchanges regarding the script with the staff," the creator said.
"I've been involved in things from far in advance personally. As I had said regarding the Boruto movie, "I can't make anything better than this work!"… It's bad to try and impose your own limits upon yourself like that. I think that I will out-do myself depicting something like that in 2018. And then there will be the Naruto hollywood movie. I have a good feeling about the upcoming game too."
The note went on to explain that Kishimoto is busy with a new manga title, but there are also things underway on Boruto which has piqued his interest.
"With Boruto and Naruto, I'll be producing something even better bit by bit. So please look forward to them," Kishimoto wrote. "In 2018, it'll be Weekly Shonen Jump's 50th anniversary, so it'll be making new highs too from now on. I think that I'll be able to contribute a little to it too…Of course, the boundaries of my new work are yet to be decided."
When 2018 rings in, fans can expect plenty of new updates. Boruto's anime will enter a brand-new arc as it begins moving towards the long-awaited 'Chunin Exam' arc. The manga will also continue as Konohamaru's team stumbles across a plot which may upend all the peace Naruto once worked for. There is plenty of Kishimoto to oversee and even more announcements to share.
Boruto: Naruto Next Generations November – December 2017 Schedule!
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New 'Boruto' Ending Teases The Destruction Of The Leaf
'Naruto' Creator Confirms His New Manga Will Be A Full Series!
Most Overpowered Abilities In Naruto!
Team 7's Unexpected First Mission, Something's Coming!
The Arc That Made Naruto Popular As Told By Kishimoto
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Meet Sgt. Lauren Swensson, proud member of Daisy's Circle, Girl Scout mom and active duty member of the Army National Guard, stationed in Leavenworth, KS! Sgt. Swensson has dedicated her life to serving others as a medic and supporting her own G.I.R.L., Juliette Girl Scout, Layla!
Helping others is a big motivator for Sgt. Swensson and what has led her down a path of serving our country. While stationed in Iraq with the U.S. Marine Corps, she found a passion for volunteering in the surgical shock and trauma platoon and helping fellow servicemen and women. She serviced back-to-back tours in Iraq and decided to go back to school in Kansas City, eventually becoming a surgical technician.
Sgt. Swensson joined the Army National Guard and found herself the mom of a proud Girl Scout starting when her daughter, Layla, became a Daisy in the Skyline Council in Virginia around 2015. They were living in Virginia and had great family support, but the Girl Scouts became a second, critical family for these awesome women. It's a network that Sgt. Swensson is proud to have Layla in.
Layla and Sgt. Lauren Swensson, a proud military family.
"Girl Scouts supports at a local level, as close knit to home as it can be by providing experiences for your child, but it also supports women on a national and global level. Girl Scouts helps mentor women and puts them on a path to succeed and gives them a foundation," Sgt. Swensson said.
As a military family, moving was part of Layla's life and they found Girl Scouts to be a great home for both of them. Girl Scout sisters became Layla's dear friends and troop leaders provided Lauren some much needed help getting Layla to and from Girl Scouts.
"It's so nice to have something for Layla that's a constant [between moves]. She takes pride in it and the troop leaders she's had understand her experiences as a military child," Sgt. Swensson said. She's been able to watch Layla grow in confidence through the Cookie Program and as a leader when she worked with younger Girl Scouts. These important moments get to be shared through the program.
Because of the second family feeling and the great programming that Girl Scouts provides, Sgt. Swensson and Layla have joined Daisy's Circle, GSKSMO's monthly giving program. "It's important to me to support something that my daughter is a part of, personally, but also, the mission of Girl Scouts and what they do is something I absolutely want to support that," Sgt. Swensson said.
Layla and Sgt. Lauren Swensson surrounded by military care packages created by Daisy's Circle troops in October 2018.
This past weekend, Sgt. Swensson and Layla attended a celebration for Daisy's Circle troops and Girl Scouts at Camp Prairie Schooner. It was double special because the service project was creating care packages for servicemen and women overseas. Sgt. Swensson got to speak to the troops about how much these packages mean to those serving.
We thank Sgt. Swensson, Layla and all the members of Daisy's Circle for providing consistent, reliable support that provides programming and opportunities for girls all over our Council. To learn more about Daisy's Circle, visit www.daisyscircle.org.
When Lauren Arthur started knocking on doors as a state senate candidate in her hometown, Kansas City, MO, memories of selling cookies as a Girl Scout in those neighborhoods came flooding back. For this go-getter, selling cookies did more than teach her business skills, it helped her develop core skills that helped her run a successful political race as an adult. Girl Scouts was more than a place for opportunities, it created a passion for connecting with other women and the belief that every girl has the power to change the world. Elected in June 2018 to serve in the Missouri state senate, this G.I.R.L. is proudly representing the Northland's 17th District!
Lauren's started as a Girl Scout Brownie in KCMO in 2nd grade and fondly remembers her troop experience. Her troop leader offered her a welcoming community and encouraged the girls to support one another. "The most important aspect of Girl Scouts in my life has been its ability to connect me with other young women," Senator Arthur said. She loved getting to know her Girl Scout sisters at Day Camp and experiencing the outdoors with them.
"As a city girl, I don't know that I would have had similar opportunities to be outdoors […if not for Day Camp]. Things like archery, horseback riding and just the opportunity to be outside," Senator Arthur said. She remembers making up jokes and cheers at camp and all the positive experiences there.
One of the other things Lauren did in Girl Scouts was actively participate in the Cookie Program. "I was old school, I went door to door and sold cookies the hard way! But that was a great experience for someone who was shy because it made me go outside of my comfort zone," Senator Arthur said. These risks and learning to be bold catapulted her to her current service as a state senator! In fact, she realized as she was campaigning that some of the houses she was knocking on as a candidate were the same doors she'd knocked on to sell cookies as a child.
Right: Senator Lauren Arthur serving in the Missouri State Senate; Left: Candidate Lauren Arthur working with children during her campaign.
Senator Arthur knew she had a passion for helping kids and spent time working for Teach for America, which helped inspire her to run for office. It became a big part of her campaign – wanting to advocate for education and seeing the potential in girls. During her political race, she loved getting to visit schools, see Girl Scout troops and watch firsthand how much these young girls had to offer the world.
Senator Arthur believes in the power of inspiring children during the most formative years, a time when Girl Scouts can be incredibly beneficial. "The world is in desperate need of women leaders. I think that those early years are so important for girls. It's when you instill character, values and develop skills that can translate into accomplishment and helping them become good people," Senator Arthur said.
For her, the power of the Girl Scouting program rested in the relationships and confidence she developed that still influence her life today. "I developed friendships in Girl Scouts that continue today […and] it has translated into relationships and networking opportunities and it feels wonderful to be part of a network of enterprising, high achieving women, both in Kansas City and across the country," Senator Arthur said.
Lauren Arthur is a wonderful example of the determination of an inspired G.I.R.L.! She saw problems she wanted to address and felt the need for female leadership…so she decided to do something about it! What a truly inspiring alum! Thank you, Senator Arthur, for your service in the Missouri State Senate and for advocating for girls just like you! We're proud to have alums serving in public office and having a voice in the development of future policies.
In Girl Scouting, the Bronze, Silver and Gold Award are the highest honors a girl can achieve. Each award gives girls a chance to identify an issue they're passionate about and create lasting change within their community!
The highest awards are progressive. The earlier a girl starts the process in their applicable level, the better prepared she is to go for the next level – and the better prepared you are to support her!
As Juniors, girls work together on their Bronze Award as a troop, sharing responsibilities and practicing group decision making.
Troop 3327 from Topeka, KS made comfort kits for children undergoing cancer treatments at Children's Mercy Hospital after one of their fellow troop member's sister went through cancer treatment herself. After the troop did some initial research, they invited the sister to the troop meeting to help them brainstorm care package items and make a shopping list. They created five different packages based on age and included blankets and homemade cards in each kit.
Left: Guest speaker talking about her cancer treatment experience at Children's Mercy. Right: girls making blankets for comfort kits.
As Cadettes, each girl increases her level of responsibility and can work in small groups of one to three girls to complete their Silver Award Project.
In Troop 2041 in Kansas City, MO, three Girl Scouts identified three issues that they cared about. Emma S. wanted more children to experience the joy of art so she created and sold her own pieces to purchase supplies for children at Mattie Rhodes Art Center. Avery W. educated her community on water pollution and how to keep water clean and water bills down, earning her Citizenship award in the process! Andra B. became interested in the issue of light pollution after traveling to a national park and seeing the true night sky for the first time then created a website article and is initiating conversation on the issue of human caused pollution of light.
Left: Snip it of Emma's flier. Center: Avery selling her art. Right: Light Pollution image on Andra's article (Photo Credit: chungking / Fotolia).
Then, as a Senior or Ambassador, a Girl Scout is ready to lead a project on her own and earn her Gold Award – the most prestigious award in the world for girls. Each year we recognize Girl Scouts who have achieved this honor and present them with their Gold Award Pin at Inspire a Girl – Expo & Gold Award Ceremony.
Taylor Edwards from Troop 506 in Lansing, KS earned her Gold Award last year after creating the Young Voters Committee at Lansing High School. She worked with her State Representative and History Teacher to create workshops educating her peers on political issues that are affecting their community and it is now a recognized school club that meets monthly reviewing issues on upcoming ballots with elected officials attending as guest speakers!
"Because of Girl Scouts I was able to find myself as a leader not only in my troop or school, but in my community," Taylor said.
Left: Taylor with Debbie Deere, State Representative 40th Ditto, during Gold Award project. Center: Receiving her Gold Award Pin from troop leader, Carla Wiegers at Inspire a Girl. Right: Taylor in the Buck O'Neil Legacy Seat at Girl Scout Day at the K.
When girls are introduced to and practice the components of the highest awards as Juniors and Cadettes, they are best prepared to Go Gold! However, Bronze and Silver are not prerequisites for the Gold Award.
As of October 1, 2018 Girl Scouts of the USA expanded the criteria for Silver and Gold Award projects to no longer exclude Girl Scouts from being the beneficiary of a Silver or Gold Award project. It is still important for girls to go through the process of identifying and selecting the cause that is important to them. Silver and Gold Award projects should only serve Girl Scouts if the girl(s) decide that is the best audience for their project! Any projects benefiting our council or Girl Scout property will need to be approved by a GSKMO Vice President. For more information, contact TracyHull@gsksmo.org.
The Bronze and Silver Awards are approved at the troop level, there is no paperwork required on the council level once the project is complete; but we do ask that you complete the tracker so we know about your project and can potentially share your story! Upon project completion you'll want to visit the Girl Scout Shop to get all the swag that shows your accomplishments, especially the Bronze or Silver Award pins!
Beyond sharing your troop or girls' story with us, help them share it within their community and beyond. On social media use #gsBronzeAward, #gsSilverAward, #gsGoldAward and #gsksmo. If you have media inquiries during or after the project is complete, contact prdept@gsksmo.org so we can work with you to tell the story in those mediums.
The Prudential Spirit of Community Awards program is the United States' largest youth recognition program based exclusively on volunteer community service and honors students in grades 5-12 for making meaningful contributions to their communities. This is a great opportunity for girls who have achieved earned any of their highest awards to potentially be recognized. In 2017, we had two Girl Scouts receive honors! 2018 applications are due November 6.
Earning these highest awards and leadership achievements is a BIG ACCOMPLISHMENT! We want all our Girls Scouts to be proud and share their accomplishments far and wide!!
It's a great time to be a Girl Scout! The leaves are changing, the weather is getting cooler, so it's time to enjoy all that fall has to offer -and it has SO MUCH for our Girl Scouts, their families and troops!
Kids will enjoy outdoor fishing fun with law enforcement while building strong bongs of respect for each other and the environments. Fishing poles and supplies will be provided on a first come first serve basis.
Get up close and personal with aircrafts and meet female aviation professionals at this annual event with the Museum of the Kansas National Guard and Combat Air Museum.
Swope Park Rangers invite the Girl Scouts to Children's Mercy Park this fall for the annual Girl Scouts Night at the Rangers! Come out and see the Sporting of tomorrow take on the LA Galaxy II then participate in a post-match clinic with the pros!
Girl Scouts, get your discounted tickets to the Kansas City Ballet's production of the Wizard of Oz on October 17 or 20!
Honeywell Manufacturing & Technologies invites Girl Scout Cadettes, Seniors and Ambassadors to their Spark Event on Oct. 18 to hear from female professionals in the industry, get creative and use their minds to create and their hands to build! Deadline to register is Oct. 16.
As darkness falls, walk through the trails of Ernie Miller Park and listen to the stories of long ago! Characters from the past will share legends around the campfire. Expect a shiver down your spine and a mild case of goose bumps for those who dare enter the forest on this autumn evening.
Make great use of the day off school on Oct. 26 (Park Hill, Blue Springs, Liberty, Center – just to name a few!) at LabConco's first-ever Spark Event! Girls will tour their plant, talk with female STEM professionals and do several hands-on science projects! Deadline to register is Oct. 24.
Girl Scout Juniors & Cadettes! Are you interested in the diversity of life and learning about organisms, mysteries of the universe, or going back in time sifting through the remains of prehistoric organisms? Investigate our world — from tiny micro-organisms to the vast Kansas blue skies at our STEM Expo on with experts from the University of Kansas & Kansas Dept. of Wildlife & Parks.
Henderson Engineers need YOUR HELP to collect diapers for HappyBottoms and bring them to their wrapping event on Nov. 10! During the event at Henderson, girls will hear from guest speakers, enjoy snow cones and fill the bust with diapers donated for the community!
The Kansas City Chiefs are hosting Girl Scout Brownies and Juniors for an Arrowhead Takeover event on Nov. 14! Girls will do Play60 activities with the Kansas City Titans (Kansas City' female football team!), learn about sports training, Chiefs History, chat with a Chiefs reporter and hang out with the Chiefs Cheerleaders and leave with a fun patch!
Give back and honor our founder, Juliette Gordon Low's birthday by helping sort and pack food at the Kansas City or Topeka Harvesters locations!
See all our 150+ Community Partner Programs at gsksmo.org/community!
When you understand the power of Girl Scouts, it's hard to walk away from living that GS Strong life. Meet Chris Hrdy, a Girl Scout Alum, mom, former troop leader, member of Daisy's Circle and travel volunteer who found a way to continue giving back after her daughters graduated. After developing a love of travel in Girl Scouts herself, Chris has decided to give back to girls by serving as a volunteer on our council-sponsored trips. This awesome volunteer shows what it means to give as part of a lifestyle.
Chris has fond memories of her time in Girl Scouts and her little green sash she got to start filling with badges. She was involved through middle school, but found her journey start back again years later when she became a mother. The program really mattered to her because it gave her daughters the chance to be themselves. "Girl Scouts gives girls the opportunity to be weird, to be unique, to be involved and be in a space where there are no parents and no boys!" Chris said.
Chris and Ann Marie Hrdy at the 2016 Inspire a Girl Ceremony!
Chris' daughters, Ann Marie and Melinda, were both Girl Scouts and benefitted from Chris' involvement. For Melinda's first years, she served as cookie mom, so by the time Ann Marie was in Kindergarten the next year, she was ready to lead. For all of Anne Marie's Girl Scouts years – through senior year of high school – Chris served as troop leader.
Troop 110 had a wonderful experience, traveling to places like Costa Rica and earning highest awards. Both daughters earned their highest awards and served our council, Melinda as a Teen Board Member and Ann Marie a part of the Teen Leadership Circle – so this is a high achieving family of G.I.R.L.s! Chris also served as Unit Leader for Day Camp and Service Unit Manager for SU 678. Once Ann Marie graduated though, Chris wasn't ready to give up her Girl Scout adventures and emailed us to find opportunities.
Chris Hrdy traveling with Girl Scouts!
Fast forward two years and Chris has adventured with girls to the 2017 Inauguration in Washington DC, Chicago (2018) and plans to join them for the Belize trip in 2019 as well as the next Girl Scout National Convention! The change that Chris gets to watch when girls experience travel is what keeps her engaged.
"When girls are out of their element and their parents aren't around, they're so different. They're open to learning new things, seeing new things, and the changes that can place in just a week during travel is mind-boggling. It's the most fun thing to watch and I LOVE IT!" Chris said.
Because of the travel adventures, highest awards and other experiences Melinda and Ann Marie got to have, they're now living pretty amazing lives. Melinda just finished culinary school and Ann Marie is a sophomore in college with goals of becoming a home economics teacher, a career path inspired by her Gold Award project! Though all three ladies are now alums, they're still giving back to the world and living the life of true Girl Scouts.
The Hrdy family became members of Daisy's Circle because of their belief in the program and wanting to give that to girls who might not otherwise be able to have some of the same experiences Ann Marie and Melinda had. "Girl Scouts is very important to me, it opens up the personalities of the girls and when they get older, it opens up doors through opportunities. I like the idea of being able to offer that to a girl who might otherwise not be able to have those opportunities," Chris said.
Thank you to Chris and the entire Hrdy family for giving to Girl Scouts and for leading the way for other girls by being brave G.I.R.Ls! Learn more about Girl Scout Travel or Daisy's Circle by visiting our website – www.gsksmo.org.
Man enough to lead a Service Unit! Meet Jason Sonderman, an exceptional Girl Scout dad who's taken his leadership to the next level as Service Unit Manager for SU607. Growing in leadership just like his Girl Scout Junior daughter, Riley, Jason has gone from parent volunteer to Appreciation Pin honoree to Service Unit Manager and member of Daisy's Circle! Talk about some serious G.I.R.L. dedication!
Jason started like most Girl Scout parents – new and unsure where volunteering would take him. When Riley was a Daisy, her mother, Micah, became the co-leader and Jason found himself picking up a variety of tasks. "It took 3-4 years for me to find my place in volunteering outside of building things and helping with carpools. Around Brownies I started finding a need in Day Camp and a place to help," Jason said.
He found a love of working at Day Camp and started coming a couple days a week to help with the cooking program. With the guidance of fellow volunteers, he found his stride and started feeling confident in his leadership. "Working a Day Camp really opened my eyes to how parents can get involved," Jason said. He served as unit leader for 2 years, then took over the cooking program.
To put a personal touch on his Day Camp leadership, he developed a persona named "Cookie." "Cookie is larger than life and memorable," Jason said. Together, Riley and Jason worked on the cooking program and as she grew as a leader, he felt pride and was even more motivated to be involved.
During cookie booth season, parents were talking about the Service Unit Manager position that was opening up. While there was a lot of interest, Jason joked about putting his hat in the ring and no one thought it was a joke, in fact, they thought it'd be great. "When no one laughed, I was surprised, but when we talked about it, it just made sense. I don't lead a troop, so I don't have other things vying for my attention, I can just focus on the service unit," Jason said.
As a dad, he knows he's in the minority as a male volunteer, but thinks that makes his service important so both genders are being represented in the organization. "Girl Scouts needs to see both genders represented as volunteers and in leadership to help them understand life outside as well as see both parents just giving back," Jason said. Throughout all of it, the best part of giving back is being part of the Girl Scout world with Riley and Micah.
"Girl Scouts gives me something to do with my daughter and wife. I understand it, I can be engaged and participate rather than it just being their thing," Jason said. He and Micah love the program because of the opportunities it provides for Riley.
Riley has developed her own way of expression, giving back and leadership through filming Day Camps and creating recruitment videos for them, as well as helping with the cooking program. "Girl Scouts is a full environment where girls can build a sisterhood and at the same time, learn things. They're learning about life, leadership, and skills they'll need to excel in our society and be respected," Jason said.
The Sondermans not only give of their time, they give financially through Daisy's Circle as well. "In our hearts, giving follows our faith and my wife and I have that extra amount to give to help someone be involved. We can help remove the barrier of maybe a $25 membership fee that might be preventing a girl from having this experience," Jason said.
We thank the Sonderman family for giving so fully to Girl Scouts and believing in the power of all G.I.R.L.s. We are thrilled to see Riley grow her skills and become the best G.I.R.L. (Go-getter, Innovator, Risk-taker, Leader) she can be! If you'd like to learn more about Daisy's Circle, visit www.daisyscircle.org.
"When I found out I was having a daughter, I said 'She's going to be a Girl Scout!'" Jen Mitchell said. This reaction sums up the passion for Girl Scouting that runs deep in this alum. For Jen Mitchell, Girl Scouting has been a family affair that provided countless opportunities. Girl Scouts also ties her to a tragic period in recent US history – the terrorist attack on the World Trade Center on Sept 11, 2001.
Jen Mitchell's Girl Scout life began when she was in 1st grade and her mom started a troop. "Both my parents were extremely involved and as my troop got going, my grandmother said 'well, I've got to get in on this.' Then, of course, my grandfather said 'well, I'll have to drive her, so I'm getting involved' and it ended up being an entire family affair for about 17 years," Jen said. Her dad later became her troop's co-leader and even joined the Board of Rolling Hills Council in New Jersey.
With a support system like this, it's no wonder Jen became close with her troop. They took trips to places like New York City and Niagara Falls. With travel and sisterly love in their hearts, they went to London after a troop member moved there. "One of our troop members came to a meeting and said 'my dad's job is moving and you guys are my best friends and I'm never going to see you again' and we go 'That's not true, we'll come see you!'" Jen said. And in true Girl Scout form, they did.
Throughout their troop years, they stayed active in service projects as well. They completed their Highest Awards, including a Silver Award project where they collected yarn and took it to a retirement community, then collected completed scarves and hats made by the residents and took them to a local cancer center. They volunteered with the VFW, and local high schools as well.
During her senior year service took on a new level of meaning for Jen. On September 11, 2001, when the World Trade Center was destroyed in a terrorist attack just 45 minutes away from her home, Jen had the most impactful Girl Scouting experience she could imagine – giving back to a country in crisis.
"Even though we were high school seniors, coming to the end of our troop years, we wanted to do something together. The aunt of one of our troop members was a Port Authority officer and told us they needed supplies for the morgue, including things like Chapstick for the workers who were spending all day in cold rooms, and that need wasn't being addressed.
Our troop started collecting items and took them to those in need. A couple of times when we would make the drop-offs we were able to go to places normal volunteers couldn't. Security was high, but because we were Girl Scouts, we had the credibility we needed to be able to help.
It was Girl Scouts that let me be part of helping families get closure. It was such an emotional thing to be 17 and have volunteers and workers so excited to see us and get the supplies. There were a couple instances where a fallen first responder was brought in while we were there and we were able to be part of that and help the family. It brought our troop closer together. Girl Scouts gave us the opportunity to do something so much bigger than we could have ever done as individuals," Jen said.
Left & Right: Jen with daughter Ellie in Ireland; Center: Ellie at a G.I.R.L. Event!
Today, Jen is excited to be a Girl Scout mom to Ellie, her brand new Daisy. She went to a New G.I.R.L. Event and couldn't be more excited to help Ellie on the same path that she, her mom and grandmother have taken. And while we all hope Ellie doesn't have to experience tragedy like 9/11 again, we know she will find connection and meaning through service like her mother did.
As the anniversary of 9/11 comes once again, we remember and honor the victims, families, first responders, volunteers and city workers who came together to bring New York City and the country together. We thank Jen and her troop for being part of that recovery and for being Girl Scout Strong in one of the darkest moments our country has experienced.
Girl Scout Senior, Patricia Smith is no stranger to travel. Her mother and leader, Arjean Smith is in the Army and the Smith family has been stationed all around the world. Patricia originally joined Girl Scouts in Virginia, they then moved to Germany where she was part of a Girl Scouts on-base program. While there, Patricia and Arjean traveled to London to visit Pax Lodge, and made three trips to Our Chalet in Switzerland!
"It's a new experience to go different places and see how people do things differently. It's also cool to meet new people," Patricia explained.
The Smiths' moved back to Fort Leavenworth in the summer of 2016 and Patricia has stayed involved in as an Indy Girl Scout.
With a love of travel instilled in her, Patricia researched ways she could continue to see the world as a Girl Scout, and ultimately decided she wanted to go on a Girl Scout destination to Hollywood and learn about filmmaking. Over the past two years, she set goals for her cookie business and earned enough money to pay for the trip herself!
On July 1, Patricia boarded a plane in KC and took her first solo flight to Los Angeles, CA where she met up with 15 other Girl Scouts from around the country for their Hollywood Dreamin' Destination!
Her trip started out with tours of production studios and the city of Los Angeles. At Warner Bros Studio, they learned how sets and scenes work and saw that some shows actually share set pieces. One of the highlights for Patricia was seeing the Fuller House set and seeing some of the props being constructed for a future episode.
They had a few prompts to choose from for their concept, and Patricia's group chose to create a film about what happens when two people are stuck in an airport together. The film itself couldn't be more than four minutes long or use more than two actors.
This destination gave Patricia a glimpse into what career in the film industry would be like and it's now a career path she's interested in!
2019-2020 Girl Scout destination programs are being added through September. Check them out and submit your application to our council by Nov. 15 to be included in the first round of consideration!
Summer might be over, but there are so many things to look forward to as a returning or a brand new Girl Scout and we have a feeling this is going to be THE. BEST. YEAR. EVER!
At Girl Scouts, G.I.R.L.s (Go-getters, Innovators, Risk-takers, Leaders) unleash their strong and become SUPERHEROES and the world can always use more superheroes so we're sharing the Girl Scout experience all around our council with New G.I.R.L. Events!
Natalie T. & Lily helped prep and test the activities to get them ready for girls!
At these events families can see what Girl Scouting is all about. With hands-on activities in each of our four program worlds, GS staff, adult volunteers and current Girl Scouts like Lily W. and Natalie T. from Lenexa, KS are helping future Girl Scouts unleash their STRONG!
Girls make a balancing robot, learning about weight distribution.
In this play Cookie Booth, girls get to handle cookie boxes and make their initial Cookie sale!
And put their Go-Getter heart, voice and hands to work in the world of Civic Engagement!
Girls complete their very first service project, decorating bags to be used by Meals on Wheels.
After exploring all the different worlds, we hope that all girls leave as brand new Girl Scouts ready for even BIGGER ADVENTURES!
Help in spread the word! Find an event in your area and share with families that you want to learn more about Girl Scouting!
Three innovators from our council set out on a Girl Scout destination to Space Academy this summer! Molly, Jenna, and Katie might've gone to the same camp with an extreme love for space exploration, but all three came back with different takeaways and experiences on their space missions.
"I wasn't really sure what to expect, but I hoped to go more in depth with what I learned in school in a new environment," Katie said.
For most of the girls, this was their first long trip away from home, and Girl Scouts was able to push them out of their typical troop traveling comfort zone. Each girl prepared in different ways for their trip!
"I thought it would be really helpful to look over my past school notes and brush up on current relevant events in the news to make sure I was ready for a tough week at the Space Academy," Molly said.
Once the girls arrived, they all noticed how cool it was to be surrounded by Girl Scouts from all over the country, some from around the world. "Everyone brought swaps from near and far, I thought that was a cool Girl Scout tradition that we kept going," Jenna said.
On the second day of Space Academy, the girls went through lesson and mission training. Each girl got a specific role to play that they trained for. Molly was a Module Commander, Jenna was a Mission Specialist and Katie was in Mission Control. "Mission prep was a very big deal. It was how we got to figure out how our simulations would actually go and the lingo we needed to learn. Understanding screen operations and commands while following a script was very difficult," explained Katie. One of Jenna's favorite parts of her first day was making rockets. "We had to use general supplies found in our kit to learn more about the physics behind space, it was so neat!" Jenna remarked.
Jenna and Molly in Mission Control!
The third day was completely filled with simulating their mission! "They really set us up to succeed. It would have been hard for us to completely fail, with how much prep we did. We learned so much," Katie said excitedly! Molly read through her journal and remembered how cool it was to work with Girl Scouts for this mission. "The difference in working with Girl Scouts during our space mission was that we all really wanted to learn. In class, people get frustrated too early, but when I worked with Girl Scouts, we were open communicators, learned how to adapt and tried harder to get along. I liked that," Molly laughed.
Days four and five mimicked the same activities on the previous days, and the girls got new roles for their new mission! "The second mission went MUCH smoother," Jenna remembered, "we had adjusted and knew how to better handle space anomalies." Jenna was in Mission Control this time, Katie was the Commander, and Molly was a trained GNC (a weather specialist).
Each girl had their own unique experience as well that was slightly different than the rest. Jenna got to meet a female astronaut, Wendy, who had previously held records for trips to space and LOVED that it was a woman who held these records. Alternatively, Katie got to meet the founder of Space Academy during their graduation. She received a book and was able to have it autographed! Molly's favorite part was realizing that a career in STEAM, specifically space exploration, was very possible for her someday.
All the girls expressed their desire to go on another destination in the future!
"We just love Girl Scouts because no other organization for girls has grander travel opportunities like this organization does," Becky Blankenship, Katie's Mother, said.
What an empowering experience! These innovators are certainly well on their way to a world of more travel possibilities, learning about new careers along the way!


If you're throwing a wedding, graduation party, baby shower or other event, you probably have a specific décor idea in mind. But who has 37 glass vases (or 23 matching tablecloths, or eight identical serving bowls, etc.,) just laying around? Probably no one. So this may seem like the time to get on Facebook or a message board, or call in favors from family and friends. But is borrowing party supplies really a good idea?
Yes, borrowing will probably save you money. But before you decide to borrow instead of rent, think of the non-financial costs and potential risks that can come along with borrowing. You may decide the ease and benefits of renting are well worth the expense.
And if you haven't visited our party and tent rental catalog, check it out before you decide –our rental prices are probably lower than you think!
There are many potential downfalls to borrowing. First, you'll be at the whim of the borrower – you'll have to pick up the item(s) at a time that works for them. If you're already busy planning a major event, you might not have extra time to run all over the Twin Cities to pick up party supplies.
When you rent, your items are ready when you need them. Not only that, we're a one-stop-shop: we don't have just one vase or bowl or tablecloth, we have everything you need! Our flexible pick-up and drop-off times allow you to get and return items on your schedule. Click here to see our hours!
What if the borrowed items aren't in great condition? Telling your friend that you don't like their things can be insulting. And, of course, you want everything you use and display at your event to look uniform and top quality. When you rent from Broadway Party & Tent Rental, everything will be clean and ready for use.
What if something breaks? Could this simple act of borrowing cause harm to your relationship with a friend or family member? These things happen more often than you might think, so consider whether it's something you're willing to risk.
Of course, borrowing supplies for your party or event could go perfectly right. But why add the stress and risk to the party planning process? Renting from Broadway is affordable, fast and convenient. Check out our wide selection of party rentals, and give us a call at 763-208-1357 to get started.


The word copper comes from the Latin word cuprum, which means ore of Cyprus. Some of its energy has been transferred to the ion, which vibrates faster. Copper is low in the reactivity series. Copper can act as a catalyst meaning a substance that can speed up a chemical reaction and improve its efficiency.
sintered ore, iron ore, copper ore, limestone, crushed stone, etc. . High-efficiency model with delicate and fast vibration .. either the upper or lower trough as.
ZSG high efficiency heavy mining vibrating screen is divided into vibration motor type and screen with Simple structure, reliable, high screening ability and low.


When you think of the annual performance appraisal process, how does it make you feel? If your healthcare organization is still using a manual paper-and-pen-based system, you probably don't feel confident that the process is working the way it should be. That's because managing performance appraisals for hospitals is extremely challenging. And many HR teams can feel drained by the process. It requires constant follow-through, mountains of paperwork, and too often feels like a chore rather than an opportunity to move the organization forward.
Pen Bay Healthcare, a community healthcare system serving the 40,000 residents of Midcoast Maine, knew it was time to update their manual performance appraisal process. The healthcare system employs more than 1,700 professionals and support staff and includes Pen Bay Medical Center, Kno-Wal-Lin Home Care and Hospice, The Knox Center for Long-Term Care, Quarry Hill (a retirement community), and Pen Bay Physicians & Associates.
Erika Stone, Recruitment and Performance Manager Specialist for Pen Bay Healthcare, described the annual performance appraisal process as stressful and daunting. "We gave managers a due date but very few of them ever completed the appraisal on time or at all. In fact, on average only half of the appraisals were completed on time—a number that could seriously jeopardize their ability to maintain accurate employee records and stay compliant with The Joint Commission. They also had problems maintaining hundreds of job descriptions.
Pen Bay Healthcare's leadership team moved quickly to select a solution to automate their performance appraisal process. The organization was already using HealthcareSource Position Manager® with great success, and decided to implement the company's Performance Manager® solution in time for their next performance appraisal rollout. "We knew that HealthcareSource had a good product and that their employees have experience working in healthcare HR", said Stone.
The HR team held their breath when it was time to conduct their performance appraisals using the new automated system. They had aggressive goals to accomplish including an 85 percent on-time appraisal completion rate. They expected to be bombarded with questions about how to use the system, but they never came. "The learning curve has been small because Performance Manager is so intuitive and easy to navigate", said Stone.
The feedback from managers has been extremely positive. Now they have access to everything they need to process a performance appraisal, without having to request and track down information.
Employees have also noticed a change in the culture of the organization. They have more face-to face communication with their managers and love that they can login to the system anytime to see their job descriptions. "Employees are pointing out errors and omissions all the time. They want their job descriptions to be accurate and to reflect what they do everyday", said Stone.
So how has HR changed since the new system launched last year? According to Stone, "Life is so much less stressful." The amount of paperwork and filing dramatically decreased and there's a sense of relief that employees records are up to date and compliant with The Joint Commission. "It felt great to not only meet our goal of an 85 percent appraisal completion rate, but to beat it", said Stone. That's because Pen Bay Healthcare's completion rate came in at 86 percent.


THE Bureau of Internal Revenue (BIR) afresh issued Revenue Memorandum Circular No. 63-2012 allegorical the issues affecting invoicing and recording of assets payments for media announcement placements.
Advertising agencies, media suppliers and advertisers comprise the tripartite institutional anatomy of the announcement industry. Depending on their industry practice, announcement agencies accept altered procedures in announcement their clients/advertisers.
Clients/advertisers accomplish assets payments for media advertit affairs anon to the announcement bureau or anon to the media supplier for the absolute bulk of the media advertit, across-the-board of artistic and media services, announcement bureau or account fees and bulk added tax (VAT).
Issues appropriately appear from the invoicing of assets payments and recording of gross receipts such that the advertit thereof does not accurately reflect the assets recipients and which may affect the ciphering of taxes due on the transaction.
In affairs for media advertits, the media supplier shall bill the applicant for the absolute bulk of assembly and media placement. The client/advertiser shall pay the media supplier anon for the bulk billed by it.


For some reason I've yet to determine, every now and then, a post will show up with long, unbroken text, refusal to display, and other assorted garbage. I used the brute force method, as I am soon heading to a dental appointment to fix a badly chipped tooth.
I just put in hard returns, and made the text that God-awful purple, which is hideous, but shows up against the background. Next time I do a similar long post, I may just link to a pdf of it, and save myself a lot of grief.
Thanks for letting me know - I was out of computer reach for a while.
I may be offering up stupid advice here, but what I've always tried to do is dump my text into Notepad to remove any pre-existing formatting, and then copy from there to the blog post entry window. If I copy directly from my word processor, I often get garbage like what you got here.
Nope, not stupid advice - that's likely part of the problem. Thank you.


text:
Q: Angular: how to select by default the first element in a select when a complex object is used I'm developing a web application using Angular 11. A component receives an array with object via input:
[
   {propery1: "a", property2:"b"},
   {propery1: "c", property2:"d"},
   {propery1: "e", property2:"f"},
]

So In my_component.ts file I have:
@Input() myArray: any[];
private selectedObject: any; // The current object selected with all its properties!

I would like selectedObject to be the entire object (of the array) selected via a dropdown menu. I did it like this:
<select [(ngModel)]="selectedObject">
    <option *ngFor="let object of myArray;" [ngValue]="object">{{object.property1}}</option>
</select>

The selectedObject is linked with the current value object. I got what I wanted, but I can't understand why the dropdown appears on the screen with no options selected:

If I open the menu, the results appear, as expected:

And if I select a property, the "empty property" disappears:

I wish this didn't happen. I would like the 'a' value to be visible right from the start. This can be easily achieved by changing the value of ngValue with object.property1. But this way the binding wouldn't work as I want it to (selectedObject must be the full object and no one property).
How do I make the first property appear without this problem occurring?

A: In your .ts file :
  myArray = [
    {property1: "a", property2:"b"},
    {property1: "c", property2:"d"},
    {property1: "e", property2:"f"},
 ]
 public selectedValue: string
 public selectedObject: any

 ngOnInit() {
   this.selectedValue = this.myArray[0].property1
   this.onValueChange();
 }

 onValueChange() {
   const found = this.myArray.filter( obj => obj.property1 === this.selectedValue)
   this.selectedObject = found? found[0] : {}
 }

In your .html file
<select [(ngModel)]="selectedValue" (ngModelChange)="onValueChange()">
<option *ngFor="let item of myArray"
        [value]="item.property1">{{item.property1}}</option>
</select>

selectedvalue : {{selectedValue}}

selected object : {{selectedObject.property1}} ; {{selectedObject.property2}}

redpajama_set_name: RedPajamaStackExchange


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text:
Aaliyah gives most confident performance yet on The Voice
Aaliyah Warren performs Don't Let Me Down on The Voice. Contributed
by scronin
Seanna Cronin APN Entertainment Editor
A US ex-pat, Seanna has been writing about the Australian entertainment industries for the past six years and is also a documentary producer, photographer and scuba diver.
A BIT of help from another set of twins is just what Aaliyah Warren needed on The Voice this week.
The Mackay teen gave her most confident performance to date on the reality singing show thanks to some mentorship from guest coaches The Veronicas.
The 17-year-old was encouraged to make more eye contact and command the stage in her rendition of Don't Let Me Down by The Chain Smokers.
"That was your most confident performance," Delta Goodrem said.
"There was something a little more powerful about you tonight."
The Veronicas revealed Aaliyah was their favourite singer from watching the show at home.
"Vocally we knew you were going to kill it," they said.
The Veronicas pictured as guest coaches on The Voice. Contributed
"You had our favourite voice on the show from watching back home. You commanded the stage, which we spoke about a lot. You connected in a way I haven't seen you connect before in previous shows."
Aaliyah is now in the Top 8 and will progress to next week's semi-finals as one of The Madden brothers' final two singers after Lane Sinclair's elimination tonight.
The young singer still has a lot of work to do, though, according to her former coach Jessie J.
"I just want you to get more comfortable; that's the only thing that's missing," she said.
"Just throw yourself into the deep end. You have to practice probably more than anyone else on the show right now. Your vocals are improving, just relax and be more comfortable."
Aaliyah on song for semi-final face-off
Aaliyah Warren eliminated from The Voice
benji madden
joel madden
the voice australia
aaliyah warren benji madden joel madden television the veronicas the voice australia


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Overlooked Thinkers: Stretching the Boundaries of Business Ethics Scholarship (Guest Editors' Introduction) – Corrigendum
Andrew Wicks, Lindsay Thompson, Patricia Werhane, Norman Bowie
Journal: Business Ethics Quarterly / Volume 32 / Issue 1 / January 2022
Published online by Cambridge University Press: 21 January 2022, p. 208
Delirium, depression, and long-term cognition
Patricia S. Andrews, Jennifer Thompson, Rameela Raman, Chelsea Rick, Amy Kiehl, Pratik Pandharipande, James C. Jackson, Warren D. Taylor, E. W. Ely, Jo E. Wilson
Journal: International Psychogeriatrics , First View
Published online by Cambridge University Press: 12 November 2021, pp. 1-6
We examined whether preadmission history of depression is associated with less delirium/coma-free (DCF) days, worse 1-year depression severity and cognitive impairment.
Design and measurements:
A health proxy reported history of depression. Separate models examined the effect of preadmission history of depression on: (a) intensive care unit (ICU) course, measured as DCF days; (b) depression symptom severity at 3 and 12 months, measured by the Beck Depression Inventory-II (BDI-II); and (c) cognitive performance at 3 and 12 months, measured by the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) global score.
Setting and participants:
Patients admitted to the medical/surgical ICU services were eligible.
Of 821 subjects eligible at enrollment, 261 (33%) had preadmission history of depression. After adjusting for covariates, preadmission history of depression was not associated with less DCF days (OR 0.78, 95% CI, 0.59–1.03 p = 0.077). A prior history of depression was associated with higher BDI-II scores at 3 and 12 months (3 months OR 2.15, 95% CI, 1.42–3.24 p = <0.001; 12 months OR 1.89, 95% CI, 1.24–2.87 p = 0.003). We did not observe an association between preadmission history of depression and cognitive performance at either 3 or 12 months (3 months beta coefficient −0.04, 95% CI, −2.70–2.62 p = 0.97; 12 months 1.5, 95% CI, −1.26–4.26 p = 0.28).
Patients with a depression history prior to ICU stay exhibit a greater severity of depressive symptoms in the year after hospitalization.
Impact of data extraction errors in meta-analyses on the association between depression and peripheral inflammatory biomarkers: an umbrella review
San Lee, Keum Hwa Lee, Kyung Mee Park, Sung Jong Park, Won Jae Kim, Jinhee Lee, Andreas Kronbichler, Lee Smith, Marco Solmi, Brendon Stubbs, Ai Koyanagi, Louis Jacob, Andrew Stickley, Trevor Thompson, Elena Dragioti, Hans Oh, Andre R. Brunoni, Andre F. Carvalho, Joaquim Radua, Suk Kyoon An, Kee Namkoong, Eun Lee, Jae Il Shin, Paolo Fusar-Poli
Journal: Psychological Medicine , First View
Published online by Cambridge University Press: 09 November 2021, pp. 1-14
Accumulating evidence suggests that alterations in inflammatory biomarkers are important in depression. However, previous meta-analyses disagree on these associations, and errors in data extraction may account for these discrepancies.
PubMed/MEDLINE, Embase, PsycINFO, and the Cochrane Library were searched from database inception to 14 January 2020. Meta-analyses of observational studies examining the association between depression and levels of tumor necrosis factor-α (TNF-α), interleukin 1-β (IL-1β), interleukin-6 (IL-6), and C-reactive protein (CRP) were eligible. Errors were classified as follows: incorrect sample sizes, incorrectly used standard deviation, incorrect participant inclusion, calculation error, or analysis with insufficient data. We determined their impact on the results after correction thereof.
Errors were noted in 14 of the 15 meta-analyses included. Across 521 primary studies, 118 (22.6%) showed the following errors: incorrect sample sizes (20 studies, 16.9%), incorrect use of standard deviation (35 studies, 29.7%), incorrect participant inclusion (7 studies, 5.9%), calculation errors (33 studies, 28.0%), and analysis with insufficient data (23 studies, 19.5%). After correcting these errors, 11 (29.7%) out of 37 pooled effect sizes changed by a magnitude of more than 0.1, ranging from 0.11 to 1.15. The updated meta-analyses showed that elevated levels of TNF- α, IL-6, CRP, but not IL-1β, are associated with depression.
These findings show that data extraction errors in meta-analyses can impact findings. Efforts to reduce such errors are important in studies of the association between depression and peripheral inflammatory biomarkers, for which high heterogeneity and conflicting results have been continuously reported.
Precursors and correlates of transient and persistent longitudinal profiles of psychotic experiences from late childhood through early adulthood
Alexandros Rammos, Sarah A. Sullivan, Daphne Kounali, Hannah J. Jones, Gemma Hammerton, Lindsey A. Hines, Glyn Lewis, Peter B. Jones, Mary Cannon, Andrew Thompson, Dieter Wolke, Jon Heron, Stanley Zammit
Journal: The British Journal of Psychiatry , FirstView
Published online by Cambridge University Press: 06 October 2021, pp. 1-9
Psychotic experiences are reported by 5–10% of young people, although only a minority persist and develop into psychotic disorders. It is unclear what characteristics differentiate those with transient psychotic experiences from those with persistent psychotic experiences that are more likely to be of clinical relevance.
To investigate how longitudinal profiles of psychotic experiences, created from assessments at three different time points, are influenced by early life and co-occurring factors.
Using data from 8045 individuals from a birth cohort study, longitudinal profiles of psychotic experiences based on semi-structured interviews conducted at 12, 18 and 24 years were defined. Environmental, cognitive, psychopathological and genetic determinants of these profiles were investigated, along with concurrent changes in psychopathology and cognition.
Following multiple imputations, the distribution of longitudinal profiles of psychotic experiences was none (65.7%), transient (24.1%), low-frequency persistent (8.4%) and high-frequency persistent (1.7%). Individuals with high-frequency persistent psychotic experiences were more likely to report traumatic experiences, other psychopathology, a more externalised locus of control, reduced emotional stability and conscientious personality traits in childhood, compared with those with transient psychotic experiences. These characteristics also differed between those who had any psychotic experiences and those who did not.
These findings indicate that the same risk factors are associated with incidence as with persistence of psychotic experiences. Thus, it might be that the severity of exposure, rather than the presence of specific disease-modifying factors, is most likely to determine whether psychotic experiences are transient or persist, and potentially develop into a clinical disorder over time.
Pre-pandemic mental health and disruptions to healthcare, economic and housing outcomes during the COVID-19 pandemic: evidence from 12 UK longitudinal studies
Giorgio Di Gessa, Jane Maddock, Michael J. Green, Ellen J. Thompson, Eoin McElroy, Helena L. Davies, Jessica Mundy, Anna J. Stevenson, Alex S. F. Kwong, Gareth J. Griffith, Srinivasa Vittal Katikireddi, Claire L. Niedzwiedz, George B. Ploubidis, Emla Fitzsimons, Morag Henderson, Richard J. Silverwood, Nish Chaturvedi, Gerome Breen, Claire J. Steves, Andrew Steptoe, David J. Porteous, Praveetha Patalay
Journal: The British Journal of Psychiatry / Volume 220 / Issue 1 / January 2022
Published online by Cambridge University Press: 30 September 2021, pp. 21-30
The COVID-19 pandemic has disrupted lives and livelihoods, and people already experiencing mental ill health may have been especially vulnerable.
Quantify mental health inequalities in disruptions to healthcare, economic activity and housing.
We examined data from 59 482 participants in 12 UK longitudinal studies with data collected before and during the COVID-19 pandemic. Within each study, we estimated the association between psychological distress assessed pre-pandemic and disruptions since the start of the pandemic to healthcare (medication access, procedures or appointments), economic activity (employment, income or working hours) and housing (change of address or household composition). Estimates were pooled across studies.
Across the analysed data-sets, 28% to 77% of participants experienced at least one disruption, with 2.3–33.2% experiencing disruptions in two or more domains. We found 1 s.d. higher pre-pandemic psychological distress was associated with (a) increased odds of any healthcare disruptions (odds ratio (OR) 1.30, 95% CI 1.20–1.40), with fully adjusted odds ratios ranging from 1.24 (95% CI 1.09–1.41) for disruption to procedures to 1.33 (95% CI 1.20–1.49) for disruptions to prescriptions or medication access; (b) loss of employment (odds ratio 1.13, 95% CI 1.06–1.21) and income (OR 1.12, 95% CI 1.06 –1.19), and reductions in working hours/furlough (odds ratio 1.05, 95% CI 1.00–1.09) and (c) increased likelihood of experiencing a disruption in at least two domains (OR 1.25, 95% CI 1.18–1.32) or in one domain (OR 1.11, 95% CI 1.07–1.16), relative to no disruption. There were no associations with housing disruptions (OR 1.00, 95% CI 0.97–1.03).
People experiencing psychological distress pre-pandemic were more likely to experience healthcare and economic disruptions, and clusters of disruptions across multiple domains during the pandemic. Failing to address these disruptions risks further widening mental health inequalities.
Guest Editors' Introduction: Overlooked Thinkers: Stretching the Boundaries of Business Ethics Scholarship
Journal: Business Ethics Quarterly / Volume 31 / Issue 4 / October 2021
Published online by Cambridge University Press: 24 September 2021, pp. 489-499
Print publication: October 2021
This special issue is devoted to highlighting thinkers who have been overlooked within business ethics and who have important contributions to make to our field. We make the case that, as scholars of a hybrid discipline that also aims to address important issues of business practice, we need to look continually for new sources of insight and wisdom that can both enrich our discourse and improve our ability to generate ideas that have a positive impact on business practice. In this introductory essay, we discuss our rationale for creating this special issue, summarize the articles contained within, and close with thoughts on its significance for the field going forward.
The life and fate of a bubble in a geometrically perturbed Hele-Shaw channel
Antoine Gaillard, Jack S. Keeler, Grégoire Le Lay, Grégoire Lemoult, Alice B. Thompson, Andrew L. Hazel, Anne Juel
Journal: Journal of Fluid Mechanics / Volume 914 / 10 May 2021
Published online by Cambridge University Press: 05 March 2021, A34
Print publication: 10 May 2021
Motivated by the desire to understand complex transient behaviour in fluid flows, we study the dynamics of an air bubble driven by the steady motion of a suspending viscous fluid within a Hele-Shaw channel with a centred depth perturbation. Using both experiments and numerical simulations of a depth-averaged model, we investigate the evolution of an initially centred bubble of prescribed volume as a function of flow rate and initial shape. The experiments exhibit a rich variety of organised transient dynamics, involving bubble breakup as well as aggregation and coalescence of interacting neighbouring bubbles. The long-term outcome is either a single bubble or multiple separating bubbles, positioned along the channel in order of increasing velocity. Up to moderate flow rates, the life and fate of the bubble are reproducible and can be categorised by a small number of characteristic behaviours that occur in simply connected regions of the parameter plane. Increasing the flow rate leads to less reproducible time evolutions with increasing sensitivity to initial conditions and perturbations in the channel. Time-dependent numerical simulations that allow for breakup and coalescence are found to reproduce most of the dynamical behaviour observed experimentally, including enhanced sensitivity at high flow rate. An unusual feature of this system is that the set of steady and periodic solutions can change during temporal evolution because both the number of bubbles and their size distribution evolve due to breakup and coalescence events. Calculation of stable and unstable solutions in the single- and two-bubble cases reveals that the transient dynamics is orchestrated by weakly unstable solutions of the system that can appear and disappear as the number of bubbles changes.
Mental health symptoms in a cohort of hospital healthcare workers following the first peak of the COVID-19 pandemic in the UK
Kasun Wanigasooriya, Priyanka Palimar, David N. Naumann, Khalida Ismail, Jodie L. Fellows, Peter Logan, Christopher V. Thompson, Helen Bermingham, Andrew D. Beggs, Tariq Ismail
Journal: BJPsych Open / Volume 7 / Issue 1 / January 2021
Published online by Cambridge University Press: 29 December 2020, e24
The coronavirus disease 2019 (COVID-19) pandemic is likely to lead to a significant increase in mental health disorders among healthcare workers (HCW).
We evaluated the rates of anxiety, depressive and post-traumatic stress disorder (PTSD) symptoms in a population of HCW in the UK.
An electronic survey was conducted between the 5 June 2020 and 31 July 2020 of all hospital HCW in the West Midlands, UK using clinically validated questionnaires: the 4-item Patient Health Questionnaire(PHQ-4) and the Impact of Event Scale-Revised (IES-R). Univariate analyses and adjusted logistic regression analyses were performed to estimate the strengths in associations between 24 independent variables and anxiety, depressive or PTSD symptoms.
There were 2638 eligible participants who completed the survey (female: 79.5%, median age: 42 years, interquartile range: 32–51). The rates of clinically significant symptoms of anxiety, depression and PTSD were 34.3%, 31.2% and 24.5%, respectively. In adjusted analysis a history of mental health conditions was associated with clinically significant symptoms of anxiety (odds ratio (OR) = 2.3, 95% CI 1.9–2.7, P < 0.001), depression (OR = 2.5, 95% CI 2.1–3.0, P < 0.001) and PTSD (OR = 2.1, 95% CI 1.7–2.5, P < 0.001). The availability of adequate personal protective equipment (PPE), well-being support and lower exposure to moral dilemmas at work demonstrated significant negative associations with these symptoms (P ≤ 0.001).
We report higher rates of clinically significant mental health symptoms among hospital HCW following the initial COVID-19 pandemic peak in the UK. Those with a history of mental health conditions were most at risk. Adequate PPE availability, access to well-being support and reduced exposure to moral dilemmas may protect hospital HCW from mental health symptoms.
8 - Transforming Culturally Relevant Research Amid a COVID-19 Pandemic
By Eboni Anderson, Daryl Traylor, Carolee Dodge Francis, Megan Murphy-Belcaster, Melva Thompson-Robinson, Johanna E. Andrews, Tristesse Burton, Kristina Ricker, Sutton King
Edited by Helen Kara, Su-Ming Khoo, National University of Ireland, Galway
Book: Researching in the Age of COVID-19
Published by: Bristol University Press
Print publication: 23 October 2020, pp 80-90
View extract
COVID-19-related morbidity and mortality have disproportionately affected communities of colour across the United States. Originally dubbed the 'great equalizer', many individuals believed that COVID-19 affected everyone equally (Gupta, 2020). However, COVID-19 has exposed ethnic and racial differences in morbidity and mortality (Yaya et al, 2020). Early data showed that African Americans, Latinos and Native Americans were more likely to grow ill and die from COVID-19 than White Americans (Bassett et al, 2020). As data continues to emerge, it is evident that communities of colour bear a disproportionate burden of COVID-19. Thus, relevant COVID-19 data must be viewed as a foundation for conducting health disparities research.
Health disparities research identifies groups that receive inequitable access to care, treatment and resources (Chan et al, 2018). This research is necessary because it offers an in-depth understanding of the demographic framework (for example, race, ethnicity, gender, age, socioeconomic status, marital status and ability status) for addressing COVID-19 (Chan et al, 2018). Zastrow and Kirst-Ashman (2010) posited that academic researchers should encompass cultural competence and cultural sensitivity when investigating the behaviour and social environment of specific groups. See (2007) suggested that Eurocentric research may generate a misunderstanding of the issues that communities of colour face in light of COVID-19. Therefore, establishing multicultural and multidisciplinary research teams with an inherent understanding of health disparities is paramount to understanding communities of colour.
Since the onset of the COVID-19 global pandemic, academic researchers were forced to change approaches to research and building teams (Kupferschmidt, 2020). These rapid changes were driven by the infectivity of COVID-19 and the need to socially distance and isolate. Fortunately, technology, such as Cisco WebEx, enabled a newly created diverse research team to work without geographical constraints to facilitate COVID-19 research. The purpose of this chapter is to describe how a diverse research team worked together to conduct meaningful research regarding the impact of stress and coping in the age of COVID-19. Colleagues from the University of Nevada, Las Vegas (UNLV) and the University of Wisconsin, Madison led the development of a social mediadisseminated research project.
Sensitivity to change of the UK Diabetes and Diet Questionnaire in a specialist weight management service
Clare England, Sam Leary, Catherine Thompson, Claire Lorimer, Rob Andrews
Journal: Proceedings of the Nutrition Society / Volume 79 / Issue OCE2 / 2020
Published online by Cambridge University Press: 10 June 2020, E667
The UK Diabetes and Diet Questionnaire (UKDDQ) is a brief dietary questionnaire developed for people with, or at high risk of, type 2 diabetes(1). It consists of 20 items scored from 0–5 (0 healthiest, 5 least healthy). It has been demonstrated to be reliable and compares well with food diaries. A study evaluating sensitivity to change of the UKDDQ was undertaken at the specialist weight management service (WMS) at Musgrove Park Hospital, Taunton. WMS patients receive an initial appointment with an endocrinologist and dietitian, followed by referral to group sessions or dietary advice. Follow up appointments with a WMS specialist occur over the next 26 weeks. Adults attending the service were recruited for the study between September 2016-March 2017. Participants completed the UKDDQ in the waiting room at the initial appointment and the first follow-up. Diabetes status, binge eating assessment and weight at both timepoints were obtained from WMS records. UKDDQ scores from 0–5 were calculated for each participant by summing the score for each item and dividing by 20. Change in UKDDQ scores and absolute and percentage change in weight between appointments were calculated. Paired sample t-tests were used to test differences in means for UKDDQ scores and weight from baseline to follow up. Multivariable regression analysis was used to examine associations between changes in the UKDDQ scores and percentage change in weight. The model was adjusted for age, gender, follow up time, diabetes status and binge eating. Forty-eight White British participants completed the study (67% women, 37% type 2 diabetes, 29% binge eating). Baseline mean weight was 132.4 (29.4)kg, mean BMI 46.5(7.7)kg/m2 and mean UKDDQ score was 1.39 (0.49). Participants lost weight (-2.4 (6.9)kg, p = 0.006) and the UKDDQ score improved between baseline and follow up (-0.27(0.53), p = 0.001). The mean percentage weight change was -1.6 (5.0)%. There was some evidence that a one point deterioration in healthy eating was associated with a 2.4 (-0.2 to 5.1)% increase in weight (p = 0.072). The UKDDQ can measure dietary change in people attending a specialist WMS and there is some evidence that a change in score is associated with a change in weight. The UKDDQ could be used as an outcome measure in these services.
Provisional checklist of terrestrial heterotrophic protists from Antarctica
Andrew R. Thompson, Gareth S. Powell, Byron J. Adams
Journal: Antarctic Science / Volume 31 / Issue 6 / December 2019
Heterotrophic soil protists encompass lineages that are both evolutionarily ancient and highly diverse, providing an untapped wealth of scientific insight. Yet the diversity of free-living heterotrophic terrestrial protists is still largely unknown. To contribute to our understanding of this diversity, we present a checklist of heterotrophic protists currently reported from terrestrial Antarctica, for which no comprehensive evaluation currently exists. As a polar continent, Antarctica is especially susceptible to rising temperatures caused by anthropogenic climate change. Establishing a baseline for future conservation efforts of Antarctic protists is therefore important. We performed a literature search and found 236 taxa identified to species and an additional 303 taxa identified to higher taxonomic levels in 54 studies spanning over 100 years of research. Isolated by distance, climate and the circumpolar vortex, Antarctica is the most extreme continent on Earth: it is not unreasonable to think that it may host physiologically and evolutionarily unique species of protists, yet currently most species discovered in Antarctica are considered cosmopolitan. Additional sampling of the more extreme intra-continental zones will probably result in the discovery of more novel and unique taxa.
The prevalence of personality disorders in the community: a global systematic review and meta-analysis
Catherine Winsper, Ayten Bilgin, Andrew Thompson, Steven Marwaha, Andrew M. Chanen, Swaran P. Singh, Ariel Wang, Vivek Furtado
Journal: The British Journal of Psychiatry / Volume 216 / Issue 2 / February 2020
Published online by Cambridge University Press: 12 July 2019, pp. 69-78
Print publication: February 2020
Personality disorders are now internationally recognised as a mental health priority. Nevertheless, there are no systematic reviews examining the global prevalence of personality disorders.
To calculate the worldwide prevalence of personality disorders and examine whether rates vary between high-income countries and low- and middle-income countries (LMICs).
We systematically searched PsycINFO, MEDLINE, EMBASE and PubMed from January 1980 to May 2018 to identify articles reporting personality disorder prevalence rates in community populations (PROSPERO registration number: CRD42017065094).
A total of 46 studies (from 21 different countries spanning 6 continents) satisfied inclusion criteria. The worldwide pooled prevalence of any personality disorder was 7.8% (95% CI 6.1–9.5). Rates were greater in high-income countries (9.6%, 95% CI 7.9–11.3%) compared with LMICs (4.3%, 95% CI 2.6–6.1%). In univariate meta-regressions, significant heterogeneity was partly attributable to study design (two-stage v. one-stage assessment), county income (high-income countries v. LMICs) and interview administration (clinician v. trained graduate). In multiple meta-regression analysis, study design remained a significant predictor of heterogeneity. Global rates of cluster A, B and C personality disorders were 3.8% (95% CI 3.2, 4.4%), 2.8% (1.6, 3.7%) and 5.0% (4.2, 5.9%).
Personality disorders are prevalent globally. Nevertheless, pooled prevalence rates should be interpreted with caution due to high levels of heterogeneity. More large-scale studies with standardised methodologies are now needed to increase our understanding of population needs and regional variations.
A new way of rapidly screening for depression in multiple sclerosis using Emotional Thermometers
Andrew G. B. Thompson, Rollo Sheldon, Norman Poole, Rita Varela, Sarah White, Paula Jones, Carole Mulley, Amy Berg, Camilla R. V. Blain, Niruj Agrawal
Journal: Acta Neuropsychiatrica / Volume 31 / Issue 3 / June 2019
Print publication: June 2019
Depression is a common, serious, but under-recognised problem in multiple sclerosis (MS). The primary objective of this study was to assess whether a rapid visual analogue screening tool for depression could operate as a quick and reliable screening method for depression, in patients with MS.
Patients attending a regional MS outpatient clinic completed the Emotional Thermometer 7 tool (ET7), the Hospital Anxiety and Depression Scale – Depression Subscale (HADS-D) and the Major Depression Inventory (MDI) to establish a Diagnostic and Statistical Manual, 4th edition (DSM-IV) diagnosis of Major Depression. Full ET7, briefer subset ET4 version and depression and distress thermometers alone were compared with HADS-D and MDI. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and receiver operating characteristic (ROC) curve were calculated to compare the performance of all the screening tools.
In total, 190 patients were included. ET4 performed well as a 'rule-out' screening step (sensitivity 0.91, specificity 0.72, NPV 0.98, PPV 0.32). ET4 performance was comparable to HADS-D (sensitivity 0.96, specificity 0.77, NPV 0.99, PPV 0.37) without need for clinician scoring. The briefer ET4 performed as well as the full ET7.
ET are quick, sensitive and useful screening tools for depression in this MS population, to be complemented by further questioning or more detailed psychiatric assessment where indicated. Given that ET4 and ET7 perform equally well, we recommend the use of ET4 as it is briefer. It has the potential to be widely implemented across busy neurology clinics to assist in depression screening in this under diagnosed group.
3 - Oceans
By Peter C. Cornillon, Eric Firing, Andrew F. Thompson, Leonid M. Ivanov, Igor Kamenkovich, Christian E. Buckingham, Yakov D. Afanasyev
Edited by Boris Galperin, University of South Florida, Peter L. Read, University of Oxford
Book: Zonal Jets
Print publication: 28 February 2019, pp 46-71
An evaluation of the transition from BAME community mental health worker to IAPT low intensity psychological wellbeing practitioner
Naheem Hakim, Andrew R. Thompson, Gail Coleman-Oluwabusola
Journal: the Cognitive Behaviour Therapist / Volume 12 / 2019
Published online by Cambridge University Press: 18 January 2019, e15
The Improving Access to Psychological Therapies (IAPT) programme started in 2008, but it contained little provision for specifically meeting the needs of Black, Asian and minority ethnic (BAME) groups. The purpose of this evaluation was to describe the experience of transition from BAME community mental health worker (CMHW) to IAPT low-intensity psychological wellbeing practitioner (PWP) in order to identify possible gains and losses for the former communities served, and the factors that might contribute to successful training of people with BAME expertise. Four former CMHWs who had transitioned into working as PWPs were interviewed. Semi-structured interviews were used. The data were analysed using thematic analysis. Six major themes were identified with the benefits of training emerging as an important factor for the participants in enhancing their role. Three of the themes interconnected and focused on the impact for BAME communities in terms of access to service and barriers. Evident in the interviews were descriptions of adaptations that were made as a result of CMHW having access to both new and old skills. Finally, two themes focused on the participant recommendations as to how IAPT services might become more culturally responsive. The findings suggest that there can be significant benefits for services to provide IAPT training to people already providing culturally specific services. The participants reported that low-intensity cognitive behavioural therapy (LICBT) was effective, but only when cultural sensitive adaptations were made. The evaluation has some clear recommendations as to how IAPT services might seek to offer culturally responsive CBT. Suggestions for carrying out further practice-based evaluations are made.
Progress in Microtomography at the ANATOMIX Beamline of Synchrotron Soleil
Timm Weitkamp, Mario Scheel, Jonathan Perrin, Vincent Le Roux, Victorien Joyet, Samir Chaouchi, Hernan-Gabriel Pais, Jean-Luc Giorgetta, Alexandre Carcy, Kewin Desjardins, Claude Menneglier, Shu Zhang, Christer Engblom, Matthieu Cerato, Yves-Marie Abiven, Gilles Cauchon, Camille Rivard, Thierry Moreno, Francois Polack, Andrew Thompson
Published online by Cambridge University Press: 10 August 2018, pp. 244-245
Iterative Reconstruction for Increased Imaging Throughput in Lab-based 3D XRM
Matthew Andrew, William Thompson, Arjun Kumar, Benjamin Hornberger
Clinical pharmacology considerations for children supported with ventricular assist devices
Jennifer Sherwin, Elizabeth Thompson, Kevin D. Hill, Kevin Watt, Andrew J. Lodge, Daniel Gonzalez, Christoph P. Hornik
Journal: Cardiology in the Young / Volume 28 / Issue 9 / September 2018
Print publication: September 2018
The ventricular assist device is being increasingly used as a "bridge-to-transplant" option in children with heart failure who have failed medical management. Care for this medically complex population must be optimised, including through concomitant pharmacotherapy. Pharmacokinetic/pharmacodynamic alterations affecting pharmacotherapy are increasingly discovered in children supported with extracorporeal membrane oxygenation, another form of mechanical circulatory support. Similarities between extracorporeal membrane oxygenation and ventricular assist devices support the hypothesis that similar alterations may exist in ventricular assist device-supported patients. We conducted a literature review to assess the current data available on pharmacokinetics/pharmacodynamics in children with ventricular assist devices. We found two adult and no paediatric pharmacokinetic/pharmacodynamic studies in ventricular assist device-supported patients. While mechanisms may be partially extrapolated from children supported with extracorporeal membrane oxygenation, dedicated investigation of the paediatric ventricular assist device population is crucial given the inherent differences between the two forms of mechanical circulatory support, and pathophysiology that is unique to these patients. Commonly used drugs such as anticoagulants and antibiotics have narrow therapeutic windows with devastating consequences if under-dosed or over-dosed. Clinical studies are urgently needed to improve outcomes and maximise the potential of ventricular assist devices in this vulnerable population.
Maintenance antipsychotic treatment versus discontinuation strategies following remission from first episode psychosis: systematic review
Andrew Thompson, Catherine Winsper, Steven Marwaha, Jon Haynes, Mario Alvarez-Jimenez, Sarah Hetrick, Alba Realpe, Laura Vail, Sarah Dawson, Sarah A. Sullivan
Journal: BJPsych Open / Volume 4 / Issue 4 / July 2018
Published online by Cambridge University Press: 29 June 2018, pp. 215-225
Understanding the relative risks of maintenance treatment versus discontinuation of antipsychotics following remission in first episode psychosis (FEP) is an important area of practice.
A systematic review and meta-analysis. Prospective experimental studies including a parallel control group were identified to compare maintenance antipsychotic treatment with total discontinuation or medication discontinuation strategies following remission in FEP.
Seven studies were included. Relapse rates were higher in the discontinuation group (53%; 95% CIs: 39%, 68%; N = 290) compared with maintenance treatment group (19%; 95% CIs: 0.05%, 37%; N = 230). In subgroup analyses, risk difference of relapse was lower in studies with a longer follow-up period, a targeted discontinuation strategy, a higher relapse threshold, a larger sample size, and samples with patients excluded for drug or alcohol dependency. Insufficient studies included psychosocial functioning outcomes for a meta-analysis.
There is a higher risk of relapse for those who undergo total or targeted discontinuation strategies compared with maintenance antipsychotics in FEP samples. The effect size is moderate and the risk difference is lower in trials of targeted discontinuation strategies.
Declaration of interest
A.T. has received honoraria and support from Janssen-Cilag and Otsuka Pharmaceuticals for meetings and has been has been an investigator on unrestricted investigator-initiated trials funded by AstraZeneca and Janssen-Cilag. He has also previously held a Pfizer Neurosciences Research Grant. S.M. has received sponsorship from Otsuka and Lundbeck to attend an academic congress and owns shares in GlaxoSmithKline and AstraZeneca. J.H. has attended meetings supported by Sunovion Pharmaceuticals.
2450 Delirium and catatonia: Age matters
Jo E. Wilson, Richard Carlson, Maria C. Duggan, Pratik Pandharipande, Timothy D. Girard, Li Wang, Jennifer L. Thompson, Rameela Chandrasekhar, Andrew Francis, Stephen E. Nicolson, Robert S. Dittus, Stephan Heckers, E. W. Ely
Journal: Journal of Clinical and Translational Science / Volume 2 / Issue S1 / June 2018
Published online by Cambridge University Press: 21 November 2018, p. 39
OBJECTIVES/SPECIFIC AIMS: Background: Delirium is a well described form of acute brain organ dysfunction characterized by decreased or increased movement, changes in attention and concentration as well as perceptual disturbances (i.e., hallucinations) and delusions. Catatonia, a neuropsychiatric syndrome traditionally described in patients with severe psychiatric illness, can present as phenotypically similar to delirium and is characterized by increased, decreased and/or abnormal movements, staring, rigidity, and mutism. Delirium and catatonia can co-occur in the setting of medical illness, but no studies have explored this relationship by age. Our objective was to assess whether advancing age and the presence of catatonia are associated with delirium. METHODS/STUDY POPULATION: Methods: We prospectively enrolled critically ill patients at a single institution who were on a ventilator or in shock and evaluated them daily for delirium using the Confusion Assessment for the ICU and for catatonia using the Bush Francis Catatonia Rating Scale. Measures of association (OR) were assessed with a simple logistic regression model with catatonia as the independent variable and delirium as the dependent variable. Effect measure modification by age was assessed using a Likelihood ratio test. RESULTS/ANTICIPATED RESULTS: Results: We enrolled 136 medical and surgical critically ill patients with 452 matched (concomitant) delirium and catatonia assessments. Median age was 59 years (IQR: 52–68). In our cohort of 136 patients, 58 patients (43%) had delirium only, 4 (3%) had catatonia only, 42 (31%) had both delirium and catatonia, and 32 (24%) had neither. Age was significantly associated with prevalent delirium (i.e., increasing age associated with decreased risk for delirium) (p=0.04) after adjusting for catatonia severity. Catatonia was significantly associated with prevalent delirium (p<0.0001) after adjusting for age. Peak delirium risk was for patients aged 55 years with 3 or more catatonic signs, who had 53.4 times the odds of delirium (95% CI: 16.06, 176.75) than those with no catatonic signs. Patients 70 years and older with 3 or more catatonia features had half this risk. DISCUSSION/SIGNIFICANCE OF IMPACT: Conclusions: Catatonia is significantly associated with prevalent delirium even after controlling for age. These data support an inverted U-shape risk of delirium after adjusting for catatonia. This relationship and its clinical ramifications need to be examined in a larger sample, including patients with dementia. Additionally, we need to assess which acute brain syndrome (delirium or catatonia) develops first.


Lorraine Howell knows a thing or two about being in the spotlight. After a long, successful career as a television news and talk show producer in the Bay Area, Howell started Media Skills Training in 1998. Since then, she has been successfully coaching professionals how to prepare to be in the spotlight. Now, it's her turn to be in the spotlight!
In today's competitive communications landscape, most of us are not celebrities, models, actors and entertainers who have the talent or extraordinary appearance to wow and mesmerize audiences. Lorraine Howell helps her clients—who are ordinary business people and professionals just like you and me—to achieve their communications goals by using skills and techniques that she learned in broadcasting.
As a media skills training expert, Lorraine helps her clients to get ready for speeches, presentations, media interviews and networking opportunities. She shows people how to identify their relevant stories and how to create clear, memorable ideas and points. Once people feel good about what they want to say, their speaking skills improve and then it's just a matter of coaching and fine tuning their delivery skills.
Mastering effective presentation includes feeling good about what you're saying and knowing how to deliver a vital message! According to Lorraine, a vital message is one that resonates with a particular audience. So a speaker needs to make sure their message is one that an audience would find useful or valuable and can be immediately applied.
Practice and preparation are the keys to success. Lorraine emphasizes how important it is to practice in advance. She recommends using your smart phone to videotape yourself a couple of times to see what the audience will see. Repeated practice and seeing what the audience will see will help you to find any weaknesses and correct them in advance. And finally the only way you get better at public speaking is to do more of it. Consider joining Toastmasters International. To learn how to think and speak on your feet, take an Improv class.
Learning successful presentation skills requires careful preparation to show an audience you are vital, strong, and healthy. Put in the time to research your audience and build a presentation with their interests in mind.
Your appearance. Make sure you look professional. Wear clothes that look good and make you feel good, so that your main focus is having a conversation with your audience. Your goal as the speaker is to be comfortable, which makes your audience comfortable. When your audience is comfortable with you, they are more open to your ideas.