[Systematic pressure ulcer risk management.: Results of implementing multiple interventions at Charité-Universitätsmedizin Berlin]. / Systematisches Risikomanagement Dekubitus.: Ergebnisse der Umsetzung eines Maßnahmenbündels an der Charité-Universitätsmedizin Berlin.

Pressure ulcers impose a high burden of disease on both the affected individual and society. Demographic change and multimorbidity aggravate the problem. The present study describes the systematic implementation of a comprehensive approach to reduce the incidence of pressure ulcers in an inpatient setting. The introduction of systematic risk assessment and the subsequent risk-adjusted application of evidence-based prevention, combined with continuous feedback of outcomes as well as tailored training, were associated with a significant decline in the incidence of pressure ulcers. Especially the occurrence of high-grade ulcers could be minimized by this systems approach.

In search of the perfect phenotype: an analysis of linkage and association studies of reading and reading-related processes.

Reading ability and specific reading disability (SRD) are complex traits involving several cognitive processes and are shaped by a complex interplay of genetic and environmental forces. Linkage studies of these traits have identified several susceptibility loci. Association studies have gone further in detecting candidate genes that might underlie these signals. These results have been obtained in samples of mainly European ancestry, which vary in their languages, inclusion criteria, and phenotype assessments. Such phenotypic heterogeneity across samples makes understanding the relationship between reading (dis)ability and reading-related processes and the genetic factors difficult; in addition, it may negatively influence attempts at replication. In moving forward, the identification of preferable phenotypes for future sample collection may improve the replicability of findings. This review of all published linkage and association results from the past 15 years was conducted to determine if certain phenotypes produce more replicable and consistent results than others.

Education in Juvenile Detention Facilities in the State of Connecticut: A Glance at the System.

The state of Connecticut detained 7,444 children and youth and committed approximately 270 to the Department of Children and Families for out of home placement in the 2007-2008 calendar year. A significant number of children and youth have special education needs that are often unidentified by home school districts. State and federal law mandate the provision of special education and related services to this population. In addition, education of these individuals is imperative as research indicates educational success is a key component for decreasing recidivism (relapse into unlawful activity) rates and providing opportunities toward productive adulthood. The cost of recidivism to detention is not only monetary; criminal misconduct also threatens the safety of society members as well. The Yale University Child Study Center under the auspices of the Connecticut Judicial Branch, Court Support Services Division (CSSD) conducted a situational analysis of the juvenile detention centers and community residential centers. The focus of this analysis was to: (1) describe the educational characteristics of detained children and youth; (2) describe the educational programs currently used in detention and assess whether the educational programming provided is consistent with the framework of the State of Connecticut Department of Education; (3) typify the community of teachers working with students in detention, identify systemic obstacles and/or challenges to educating this population, ascertain the pathways of educational records of detained children and youth; and (4) identify system barriers or challenges to delivering education to this population and teaching in detention or alternative to detention settings. This report is a summary of findings.