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As decisions are made to address changes in reimbursement in your work place, how are these changes shared with the nursing staff? What suggestions do you have that could increase nurses’ awareness of health care financing issues? * Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. .

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As a special education professional, it is important to be aware of how social and cultural influences can impact the assessment process. Lack of awareness can lead to charges of discrimination and possible litigation. Using support from the required readings, the Instructor Guidance, supplemental information derived from outside sources and your discussion, and information from the scenario below, you will (a) use information you have learned about Manuel to complete the Child Study Team Referral Form found in the Week Three Instructor Guidance , and (b) write a 3 page report with your recommendations for Tier Two RTI interventions that take Manuel's social and cultural background into account. Scenario: Manuel is becoming more and more listless in class and is still not doing well with his assignments. You have noticed though, that he seems to be making friends, as outside of class each morning you notice him joking and talking with a group of boys. They talk about BMX bikes and an online computer game that they all play. You are aware that some of the boys in that group are involved in the school robotics team and you begin to wonder how you could use his newly formed friendships and your insights into his interests to support his language arts skills. You and Mr. Franklin are also excited about a workshop you just attended with Dr. Janette Klingner who talked about how to realize the potential of RTI (Links to an external site.) (Klingner, J, 2011) with culturally and linguistically diverse learners. The Child Study Team has been doing diagnostic work to see if there are other variables within the classroom and/or school environment that may be affecting Manuel's performance. What the Child Study Team discovers is that Manuel feels embarrassed by his slow reading compared to his classmates and does not see the relevance of classes that are not related to his intended career goal, engineering. The team also notes that Manuel is able to write well, but he often does not finish in-class assignments and tests, and his homework written assignments are very short. The lack of length in his assignments consistently costs him points. When you talk to Manuel he shows pride when you compliment him on his bilingual ability and ask for his help in translating for a new student from Guatemala. Finally, the team becomes aware that Manuel does not want to be labeled "dumb" and is worried that he will be made fun of if he is pulled out of his regular classes for more intensive support. Manuel’s vision and hearing test were both are normal and his medical exam does not reveal any medical issues. As a member of the Child Study Team (CST) and taking into account Manuel's interests and the social and cultural influences that may be affecting Manuel's school performance, you and the CST are planning your next steps. You and Mr. Franklin discuss what interventions would take into account Manuel’s cultural and linguistic background. .

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As an incoming CEO, how would you have approached the senior leaders.docx

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As a prison administrator (warden/superintendent), what would your recommendation be for HIV testing within the prison system? Why or why not? If so, when should it take place (e.g. during admission, anytime during incarceration, just prior to release)? Should the offenders who are HIV/AIDS positive be segregated? Would it be a violation of the offender’s rights to be segregated from the general population? reaponse must be 400- 500 words .

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As a helpful tool for schools, organizations, and agencies working with families to have on hand to refer families to services that might be needed to assist the child and/or family. Create a resource guide for your community (Mississippi) on services available that might help children and or families. This does not have to be an extensive list, but a representation of what should be included in an in-depth guide. .

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Article Interspecies ChimerismwithMammalian Pluripotent Stem Cells Graphical Abstract Highlights d Naive rat PSCs robustly contribute to live rat-mouse chimeras d A versatile CRISPR-Cas9 mediated interspecies blastocyst complementation system d Naive rodent PSCs show no chimeric contribution to post- implantation pig embryos d Chimerism is observed with some human iPSCs in post- implantation pig embryos Wu et al., 2017, Cell 168, 473–486 January 26, 2017 ª 2017 Elsevier Inc. http://dx.doi.org/10.1016/j.cell.2016.12.036 Authors Jun Wu, Aida Platero-Luengo, Masahiro Sakurai, ..., Emilio A. Martinez, Pablo Juan Ross, Juan Carlos Izpisua Belmonte Correspondence [email protected] In Brief Human pluripotent stem cells robustly engraft into both cattle and pig pre- implantation blastocysts, but show limited chimeric contribution to post- implantation pig embryos. mailto:[email protected] http://dx.doi.org/10.1016/j.cell.2016.12.036 http://crossmark.crossref.org/dialog/?doi=10.1016/j.cell.2016.12.036&domain=pdf Article Interspecies Chimerism with Mammalian Pluripotent Stem Cells Jun Wu,1 Aida Platero-Luengo,1 Masahiro Sakurai,1 Atsushi Sugawara,1 Maria Antonia Gil,2 Takayoshi Yamauchi,1 Keiichiro Suzuki,1 Yanina Soledad Bogliotti,3 Cristina Cuello,2 Mariana Morales Valencia,1 Daiji Okumura,1,7 Jingping Luo,1 Marcela Vilariño,3 Inmaculada Parrilla,2 Delia Alba Soto,3 Cristina A. Martinez,2 Tomoaki Hishida,1 Sonia Sánchez-Bautista,4 M. Llanos Martinez-Martinez,4 Huili Wang,3 Alicia Nohalez,2 Emi Aizawa,1 Paloma Martinez-Redondo,1 Alejandro Ocampo,1 Pradeep Reddy,1 Jordi Roca,2 Elizabeth A. Maga,3 Concepcion Rodriguez Esteban,1 W. Travis Berggren,1 Estrella Nuñez Delicado,4 Jeronimo Lajara,4 Isabel Guillen,5 Pedro Guillen,4,5 Josep M. Campistol,6 Emilio A. Martinez,2 Pablo Juan Ross,3 and Juan Carlos Izpisua Belmonte1,8,* 1Salk Institute for Biological Studies, 10010 N. Torrey Pines Road, La Jolla, CA 92037, USA 2Department of Animal Medicine and Surgery, University of Murcia Campus de Espinardo, 30100 Murcia, Spain 3Department of Animal Science, University of California Davis, One Shields Avenue, Davis, CA 95616, USA 4Universidad Católica San Antonio de Murcia (UCAM) Campus de los Jerónimos, N� 135 Guadalupe 30107 Murcia, Spain 5Clinica Centro Fundación Pedro Guillén, Clı́nica CEMTRO, Avenida Ventisquero de la Condesa 42, 28035 Madrid, Spain 6Hospital Clı́nico de Barcelona-IDIBAPS, Universitat de Barcelona, 08007 Barcelona, Spain 7Present address: Graduate School of Agriculture, Department of Advanced Bioscience, Kinki University, 3327-204 Nakamachi, Nara 631-8505, Japan 8Lead Contact *Correspondence: [email protected] http://dx.doi.org/10.1016/j.cell.2016.12.036 SUMMARY Interspecies blastocyst complementation enables organ-specific enrichment of xenogenic pluripotent stem cell (PSC) derivatives. Here, we establish a versatile blastocyst complementation platform based on CRISPR-Cas9-mediated zygote genome editin.

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As a future leader in the field of health care administration, you may face many chronic health threats to various systems. As you work to combat these threats and ensure community wellness, you are likely to become an agent of social change. This objective may be more challenging and critical to achieve in matters such as health emergencies and outbreaks. For leaders, outbreaks, epidemics, and pandemics elicit critical and timely attention to situations in health care administration. In this week’s article by Gostin, Lucey, & Phelan (2014), the authors highlight the challenges present with an Ebola epidemic on a global scale. Using this Learning Resource from this week as well as 2–4 additional resources you may find from the Walden Library, current events, etc., consider your leadership perspective during an outbreak, epidemic, or pandemic. As you collaborate with your group, individually select one of the following leadership roles that would respond during this outbreak: Director, FEMA Director, CDC Governor of an afflicted state Incident Response Commander Response Leader, American Red Cross (or other nongovernmental organization) ***Health Care Administrator for a large medical center ( I HAVE SELECTED THIS ROLE )**** After selecting your leadership role, use a systems approach to work with your group to establish an immediate response in preventing another pandemic. The Assignment—Part 1:Individual Case Analysis (1–2 pages): Based on the leadership role you selected for the Assignment, include the following: A summary of the leadership challenges this leader would face in assuring the system changes necessary to be prepared for the next outbreak, epidemic, or pandemic An explanation of how your leadership challenges as this leader relate to challenges of the other leaders listed above Note: The leadership challenges that you describe should be those you would face as an individual in the role of your selected leader, rather than the functional challenges of the agency this individual leads. The Assignment—Part 2:Group Case Study Analysis (2–3 pages): Then, using your leadership Assignment for the Case Study, collaborate with your colleagues to create a Group Case Study Analysis that includes: An explanation of how the challenges identified in the individual case analyses collectively affect crisis response by the system and the individuals within it An explanation of how transformational and transactional leaders might influence outcomes within this case A summary of how poor leadership might affect the outcome of the case .

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Article Title and Date of the Article The Economist “Insider dealing: euro outs fear that euro ins might do them down” October 17, 2015 Summary This article posted as a special news report by The Economist, is focused on the Eurozone and European Union, and how they are experiencing some problems that might hurt both the euro currency and relations with non-‐-‐-‐euro zone countries. At the moment, in Europe there are two types of observers: the Europhiles and Euroskeptics. The Europhiles are those who admire Europe and favor the participation of the European Union, while on the other side of the spectrum are the Euroskeptics, who are those who are opposed to increasing the powers of the European Union. Currently, the alarming political issue that has been growing in Europe is the negative relationship between those countries that belong to the European Union and Eurozone, against those who are members of the European Union but not the Eurozone. The argument here is that those members belonging to the Eurozone have been meeting together, while excluding non-‐-‐-‐Eurozone members and making decisions such as bails, which affect all countries within the European Union. The Eurozone countries believe that that only those countries that are members of the Eurozone should be allowed to voice their opinions and make decisions on everything regarding the euro, since they are the ones directly affected by it. On the other hand, the non-‐-‐-‐Eurozone countries feel like the euro members are “ganging up” on them, meaning that they feel like those countries in the Eurozone are making decisions regarding their own interests, and not the collective interests of all members of the European Union. Association to specific chapter material and concepts 2.4 A Single Currency for Europe: The Euro (40) Chapter 2 discusses the global financial environment including the European Union, the Euro.

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Article The Effects of Color on the Moods of College Students Sevinc Kurt1 and Kelechi Kingsley Osueke2 Abstract This research aims to discover the psychological effects of colors on individuals, using the students’ union complex in a university campus. This building was chosen due to its richness in color variances. The research method is survey, and questionnaires were drawn up and distributed to an even range of students, comprising both international and local students; undergraduate and graduate. Questionnaires have been collected and analyzed to find out the effects different colors had on students’ moods in different spaces of the students’ union complex. This research would contribute to understand more about colors and how they affect our feelings and therefore to make better decisions and increase the use of spaces when choosing colors for different spaces to suit the purpose for which they are designed. Keywords color, mood, architectural space Introduction We live in a world of color (Huchendorf, 2007, p. 1). According to the various researches, the color that surrounds us in our daily lives has a profound effect on our mood and on our behavior (e.g., Babin, Hardesty, & Suter, 2003; Kwallek, Lewis, & Robbins, 1988; Kwallek, Woodson, Lewis, & Sales, 1997; Rosenstein, 1985). In clothing, interiors, landscape, and even natural light, a color can change our mood from sad to happy, from confusion to intelligence, from fear to confidence. It can actually be used to “level out” emotions or to create different moods (Aves & Aves, 1994, p. 120). The design of an environment through a variety of means such as temperature, sounds, layout, lighting, and colors can stimulate perceptual and emotional responses in consumers and affect their behavior (Kotler, 1973 in Yildirim, Akalinbaskaya, & Hidayetoglu, 2007, p. 3233). Therefore, it may follow that if we could measure it, we may get a clue as to how our mood varies when in any enclosed space. The ambiance of the interior space affects the users’ behaviors and perception of that place by influencing their emotional situation. In this context, it is believed that the various physical components including light and color have a great importance on the environmental characteristics of space, especially in public use like students’ union centers. Hence, using the appropriate color in design is important in such buildings. It is also significant to draw cognitive map and way finding in interiors. Environmental interventions that promote way finding can be implemented on two levels: the design of the floor plan typology and environmental cues, which comprise signage, furnishings, lighting, colors, and so on. Vivid color coding may enhance short-term memory and improve functional ability (Cernin, Keller, & Stoner, 2003). So the use of color is one of the crucial elements in designing the appropriate circulation of public interiors. Furtherm.

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Art museums and art galleries are two different types of entities. The primary difference is that while one goes to an art museum to view art and learn about art from an educational or cultural experience; one goes to an art gallery to view art, discover new artists, possibly from the perspective of purchasing the art. Most museums are funded by governments, foundations, and corporate and private donors, and they are operated on a non-for-profit basis. Galleries seek to make profit and gain exposure for themselves and the artists they represent.Art galleries, are usually small businesses or centers that exhibit art for the purposes of promoting and selling art. One would typically visit an art gallery to discover an artist, possibly with an interest in buying the art. Art museums, on the other hand, are larger and are intended for education and cultural experiences. One would typically visit an art museum to view and study its permanent collection or to visit a touring exhibit of works on loan from another museum or institution. There are 2 parts to your Museum Critical Review assignment to be completed after visiting one or more of the following museum websites* : Dallas Museum of Art https://dma.org/ Nasher Sculpture Center https://www.nashersculpturecenter.org/ Meadows Museum of Art www.meadowsmuseumdallas.org/ Crow Collection www.crowcollection.org Kimbell Art Museum www.kimbellart.org Modern Art Museum of Fort Worth www.themodern.org Amon Carter Museum of American Art www.cartermuseum.org Google Arts and Culture Collections https://artsandculture.google.com/partner *Not all of the museums will have the diversity of time periods that you will need to complete the assignment. You may have to visit more than one of the listed museum websites if you choose one of the more time or region specific museums. ARTS 1301 NLC Art Appreciation Museum Critical Review Assignment and Worksheet I hope you are inspired by your visit to the museum websites. This assignment is designed to meet both Communication and Social Responsibility Student Learning Objectives. There are 2 parts to your Museum Critical Review assignment to be completed after visiting one or more of the following museum websites* : · Dallas Museum of Art www.dma.org · Nasher Sculpture Center www.nashersculpturecenter.org · Meadows Museum of Art www.meadowsmuseumdallas.org/ · Crow Collection www.crowcollection.org · Kimbell Art Museum www.kimbellart.org · Modern Art Museum of Fort Worth www.themodern.org · Amon Carter Museum of American Art www.cartermuseum.org · Google Arts and Culture Collections https://artsandculture.google.com/partner *Not all of the museums will have the diversity of time periods that you will need to complete the assignment. You may have to visit more than one of the listed museum websites if you choose to go to one of the more time or region specific museums. Your instructor may choose to.

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As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups. For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following: Choose either a treatment group or task group as your intervention for Paula Cortez. Identify the model of treatment group (i.e., support, education, teams, or treatment conferences). Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication? Include the advantages and disadvantages of using this type of group as an intervention. REQUIRED resource for assignment A Meeting of an Interdisciplinary Team Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk. Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her HIV medications. The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy. Click one the above images to begin the conversation. Physician Dialogue 1 Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.

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arts Article Circling Round Vitruvius, Linear Perspective, and the Design of Roman Wall Painting Jocelyn Penny Small † Department of Art History, Rutgers University, New Brunswick, NJ 08901, USA; [email protected] † Mail: 890 West End Avenue, Apartment 4C, New York, NY 10025-3520, USA. Received: 1 April 2019; Accepted: 2 September 2019; Published: 14 September 2019 �� Abstract: Many scholars believe that linear perspective existed in classical antiquity, but a fresh examination of two key texts in Vitruvius shows that 1.2.2 is about modularity and symmetria, while 7.Pr.11 describes shading (skiagraphia). Moreover, these new interpretations are firmly based on the classical understanding of optics and the history of painting (e.g., Pliny the Elder). A third text (Philostratus, Imagines 1.4.2) suggests that the design of Roman wall painting depends on concentric circles. Philostratus’ system is then used to successfully make facsimiles of five walls, representing Styles II, III, and IV of Roman wall painting. Hence, linear perspective and its relatives, such as Panofsky’s vanishing vertical axis, should not be imposed retrospectively where they never existed. Keywords: linear perspective; skenographia; skiagraphia; Greek and Roman painting; Roman fresco; Vitruvius; Philostratus Two systems for designing Pompeian wall paintings have dominated modern scholarship: a one- or center-point perspective and a vanishing vertical axis.1 Neither method works for all the variations seen on the walls of Styles II–IV. The vanishing vertical axis is considered a precursor of linear perspective, whereas center-point construction is a form of linear perspective. Many scholars believe that linear perspective was invented by the Greeks, only to be forgotten during the Middle Ages and “reinvented” in the Renaissance.2 In contrast, I propose that linear perspective was not known in any form in antiquity but, rather, was an invention of the Renaissance, which also created its putative ancient pedigree. 1. Background 1.1. Definitions First, it is important to define four key terms. “Perspective” applies loosely to a wide range of systems that convert a three-dimensional scene to two dimensions. Most scholars, however, mean “linear perspective” when they use the unqualified term “perspective”. No standard definition exists for linear perspective, but only linear perspective obeys the rules of projective geometry. Formal definitions refer to “station points” (the point or place for the “eye” of the “viewer” and/or “artist”), vanishing points, horizon lines, and picture planes, among other aspects. Horizontal lines converge to the “center point” or, in the case of 1 This topic is remarkably complex with a massive bibliography. Small (2013) provides a reasonable summary of the scholarship to its date of publication. Since then, I have realized that the standard interpretations of key texts and objects needs to be totally rethought. This artic.

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Artists are often involved in national social movements that result .docx

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ARTS 1301 Art Appreciation Class North Lake College Museum Critical Review Assignment and Worksheet CRITICAL THINKING AND SOCIAL RESPONSIBILITY VALUE RUBRIC I hope you are inspired by your visit. Please remember to not use a flash with your cameras. Ask before taking a photo, and no CELL PHONE usage during your visits unless you are participating in the media challenges at the museums (points program). Remember that all art is precious, so stay 12 inches away from the art, walls and art cases, please. This assignment is designed to meet both Communication and Social Responsibility Student Learning Objectives. There are 2 parts to your Museum Critical Review assignment to be completed after visiting one or more of the following museums*:  Dallas Museum of Art www.dma.org  Kimbell Art Museum www.kimbellart.org  Modern Art Museum of Fort Worth www.themodern.org  Amon Carter Museum of American Art www.cartermuseum.org *Not all of the museums will have the diversity of time periods that you will need to complete the assignment. You may have to visit more than one of the listed museums if you choose to go to one of the more time or region specific museums. Your instructor may choose to allow only a few of these museums to meet the assignment assessment. Part 1. CRITICAL REVIEW of Favorite Artwork-- 75 Points Don’t forget to find a favorite piece anywhere inside or outside of the museum. Collect the information to complete the critical review later. `````````````````````````````````````````````````````````` The purpose of this review is to critically interpret and evaluate a work of art. (ACGM guidelines, 2015). Based on student attendance a museum exhibition in their community A critical analysis with personal reflection that demonstrates comprehension of event. The date, place and time of the event will be cited as a source material A minimum of 300 words, typed double-paced 12 point font Measured with objective standards of Creative Thinking VALUE rubric This critical review should be a minimum of 300 words, typed double-spaced 12-point font. The assignment will be submitted via eCampus as instructed. 1. Description of art object (100 words) up to 30% of points earned for assignment________ Write the name of the art work being discussed, the artist’s name, the date, time, name of museum, size, description of the piece or composition, and the location. In the description, create a visual image with words. 2. Analysis of the art object (100 words) up to 40% of points earned for assignment________ Based on the description provided in the introduction, analyze the artist’s intent or message within the work of art. Provide notated research (inquiry) to further interpret the background of the artist and the era in which it was created. The innovation and expression of ideas of the artist should be better http://www.kimbellart.org/ http://www.themodern..

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Article ReviewThe Role of Nicotine Dependence in E-Cigarettes’.docx

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Article Review Sheet and Mystery of the Week Name ____________________________ Date ________________ Article Title: _______________________________________________________ Author: _________________________________________________________ Source and Date: ________________________________________________ Article # ___________________ 1. Briefly summarize the article in your own words. (No quotes please!) 2. List three key points from the article: a. b. c. 3. Do you agree or disagree with the premise and conclusions in the article? Yes No 4. What were the weak parts of the argument or missing information in the article that may lead to a different conclusion? ‘Beauty is in the eye of the beer holder’: People who think they are drunk also think they are attractive Laurent Bègue1∗, Brad J. Bushman2,3, Oulmann Zerhouni1, Baptiste Subra4 and Medhi Ourabah5 1University of Grenoble 2, France 2The Ohio State University, Columbus, Ohio, USA 3VU University, Amsterdam, The Netherlands 4University of Paris Descartes, France 5University of Paris 8, Saint-Denis, France This research examines the role of alcohol consumption on self-perceived attractiveness. Study 1, carried out in a barroom (N = 19), showed that the more alcoholic drinks customers consumed, the more attractive they thought they were. In Study 2, 94 non- student participants in a bogus taste-test study were given either an alcoholic beverage (target BAL [blood alcohol level] = 0.10 g/100 ml) or a non-alcoholic beverage, with half of each group believing they had consumed alcohol and half believing they had not (balanced placebo design). After consuming beverages, they delivered a speech and rated how attractive, bright, original, and funny they thought they were. The speeches were videotaped and rated by 22 independent judges. Results showed that participants who thought they had consumed alcohol gave themselves more positive self-evaluations. However, ratings from independent judges showed that this boost in self-evaluation was unrelated to actual performance. ‘Beauty is in the eye of the beer holder’ —Kinky Friedman Alcohol has many consequences on social perception and relationships. After a drink, intoxicated people see members of the opposite sex through ‘beer goggles’, which makes them look especially attractive (Jones, Jones, Thomas, & Piper, 2003; Lyvers, Cholakians, Puorro, & Sundram, 2011; Neave, Tsang, & Heather, 2008). But alcohol can also influence self-perceptions. Previous research on alcohol and self-awareness has found that alcohol reduces self-awareness by inhibiting self-relevant encoding processes (Hull, Levenson, Young, & Sher, 1983). The purpose of the present research is to test the hypothesis ∗Correspondence should be addressed to Laurent Bègue, University of Grenoble 2, LIP, 1251, Av. Centrale, BP47, 38040 Grenoble, France (e-mail: [email protected]). DOI:10.1111/j.2044-8295.2012.02114.x British Journal of Psychology (2013), 104.

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Articulate in one to two (1 to 2) sentences Neil’s problem from your perspective. Supply evidence from the case to support your statement. Create and then prioritize a list of issues that Neil must tackle and would be nice if he could tackle. Identify the issues using these two labels (must and nice to). Recommend an ideal action Neil can take and a likely action Neil will have to take. Provide evidence to back up your recommendations. Discuss whether or not Neil should consider initiating a penalty against Stinson Distribution Company in upcoming contract talks. Thoroughly explore the pros and cons. .

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Article Sex Offender Recidivism Revisited: Review of Recent Meta-analyses on the Effects of Sex Offender Treatment Bitna Kim 1 , Peter J. Benekos 2 , and Alida V. Merlo 1 Abstract The effectiveness of sex offender treatment programs continues to generate misinformation and disagreement. Some literature reviews conclude that treatment does not reduce recidivism while others suggest that specific types of treatment may warrant optimism. The principal purpose of this study is to update the most recent meta-analyses of sex offender treatments and to com- pare the findings with an earlier study that reviewed the meta-analytic studies published from 1995 to 2002. More importantly, this study examines effect sizes across different age populations and effect sizes across various sex offender treatments. Results of this review of meta-analyses suggest that sex offender treatments can be considered as ‘‘proven’’ or at least ‘‘promising,’’ while age of participants and intervention type may influence the success of treatment for sex offenders. The implications of these findings include achieving a broader understanding of intervention moderators, applying such interventions to juvenile and adult offenders, and outlining future areas of research. Keywords offenders, sexual assault, recidivism, intervention Introduction The topic of sex offenders generally elicits fear and anxiety from the public and contributes to punitive policies aimed at harsh, exclusionary punishments. The perspective that commu- nities need to be protected from sex offenders through incarceration and surveillance often overshadows the prospects that treatment can also provide public safety. In their study, Kernsmith, Craun, and Foster (2009) found that citizen respon- dents who reported higher levels of fear of sex offenders were more supportive of registration requirements for sex offenders. Levenson, Brannon, Fortney, and Baker (2007) also reported that public perceptions of sex offenders reflect public anxiety and support for community protection. Although negative attitudes toward sex offenders are not reflective of all countries, cultural differences and historical context can account for less punitive public responses. For example, McAlinden (2012) found that therapeutic interventions for sex offenders were more prevalent in European countries than in England and Wales. She attributes this to a more scientific and medical approach to sex offending across Europe and less emphasis on ‘‘sexual abuse as a moral, legal, and social problem’’ (p. 170). Nevertheless, the sex offender problem has become more serious across Europe and policies reflect a shift toward more punitive attitudes and sanctions (McAlinden, 2012). Not only in European countries but also in the United States, one of the misgivings about how to respond to sex offenders concerns the effectiveness of treatment. In this article, the authors address the treatment issue by updat.

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ARTICLE Investigating the recording and accuracy of fluid balance monitoring in critically ill patients A Diacon, MCur; J Bell,' 3 MCur, BCur, PGDN 1 Division o f Nursing, Faculty o f Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa 3 TASK Applied Science, Karl Bremer Hospital, Bellville, Cape Town, South Africa 3 Department o f Nursing Science, School o f Clinical Care Sciences, Faculty o f Health Sciences, Nelson Mandela Metropolitan University, Port Elizabeth, South Africa Corresponding author: A Diacon ([email protected]) Background. The accurate assessment o f fluid balance data collected during physical assessment as well as during m onitoring and record-keeping forms an essential part of the baseline patient information that guides medical and nursing interventions aimed at achieving physiological stability in patients. An informal audit o f 24-hour fluid balance records in a local intensive care unit (ICU) showed that seven out of ten fluid balance calculations were incorrect. Objective. To identify and describe current clinical nursing practice in fluid balance m onitoring and measurement accuracy in ICUs, conducted as part of a broader study in partial fulfilm ent of a Master o f Nursing degree. Methods. A quantitative approach utilising a descriptive, exploratory study design was applied. An audit of 103 ICU records was conducted to establish the current practices and accuracy in recording o f flu id balance m onitoring. Data were collected using a purpose-designed tool based on relevant literature and practice experience. Results. Of the original recorded fluid balance calculations, 79% deviated by more than 50 mL from the audited calculations. Further more, a significant relationship was shown between inaccurate fluid balance calculation and administration of diuretics (p=0.01). Conclusion. The majority o f fluid balance records were incorrectly calculated. S AfrJCrit Care 2014;30(2):55-57. DOI:10.7196/SAJCC.193 M ainta in ing a balance between flu id intake and output plays an im portant role in the management o f a critica lly ill patient. The accurate assessment o f the flu id balance data collected during physical assessment as well as during m onitoring activities and record-keeping forms an essential part o f the baseline patient in fo rm ation tha t guides medical and nursing in terventions to achieve physiological stability in a patient. Changes in a critically ill patient's fluid balance can complicate the patient's clinical condition. It is, therefore, necessary that flu id balance parameters are accu rately monitored and recorded for all patients in intensive care units (ICUs).111 A daily observation sheet is used to record all vital signs, nursing interventions, medical procedures and the fluid balance for each 24-h period of a day. The fluid balance record comprises records of the intake and output of fluids by a patient over a 24-h period. The differ.

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