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According to one recent federal report, about one half of Americans will have a serious mental health condition during their lifetimes, and at present, fewer than 50 percent of those with such conditions are receiving treatment. Anxiety is the most pervasive of all mental disorders, says Etkin, and his work has been critical to redefining it in biological terms. I wanted to understand how Etkins work is changing the way that psychiatry looks at mental illness, and so on this February morning I am inside the fMRI machine, hoping to grasp what exactly Etkins face expression exercise elicits. I cringe at incorrect responses that happen before I have time to think, and marvel at the many correct ones that seem to occur automatically. I am relieved once Im done, though Im worried about what my results will reveal. These scans are not accurate enough to be diagnostic, but still I fret: Are the images going to show a brain rife with anxiety?Thats the title of a talk that Etkin gives at the start of a new neuroscience course for third year psychiatry residents at Stanford that he has developed with the support of department chair Laura Roberts, MD. The lecture begins with a blunt discussion of the state of the profession. Turns out were not terribly good at treating psychiatric diseases worse, likely, than we have thought, reads one PowerPoint slide. Another bullet point notes, We also dont understand how our current therapies work, for whom are they likely to work, and why. Next comes one word: Yikes!Over the last half century, other fields of medicine have experienced a decline in mortality and disability rates as new devices and treatments have been developed, but psychiatry has lagged behind, says Etkin, who is also an investigator at the Mental Illness Research, Education and Clinical Center at the Veterans Affairs Palo Alto Health Care System. For instance, while the number of drug classes for cardiovascular disease has increased since the 1950s from two to 16, the number for depression and schizophrenia has barely budged, increasing from four to five.
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Washing your wheels with a mild soap and water solution is one of the best ways to protect the finish, and we've even got instructions on how to do it!Tar and bug removers can also be applied to prevent staining, and waxing the wheels after installation protects them further. Clean wheels when they are cool. If soap is applied to a warm or worse yet, an outright hot wheel, it could dry on and become resistant to washing off. Clean your tires and wheels first, one at a time. Focus on the wheels separately from the rest of the vehicle to avoid over spraying them or having some set longer than others with soap or wax on them. You need to clean your wheels on a regular weekly or bi weekly basis. Wheels are often the dirtiest part of your car because they are exposed to the elements and brake dust, so don't be all lazy about it. True requires a little work, man!NEVER allow your wheels and tires to be steam cleaned. You could ruin your finish entirely, or cause color shifting and dullness to set in. DON'T clean hot wheels; wait until they cool. Dry soap can create film or streaking, and there's nothing cool about that.
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If one or both of the individuals involved are minors, the hall monitor should immediately call for the abuse or misconduct to cease, remove the individual from the situation, and at the earliest opportunity document their observation, conversations and actions on the Suspected Abuse Report Form. The hall monitor should also notify organization leadership and immediately contact Child and Family Services or Children's Aid Society. Nothing should delay the report to the appropriate protection authorities. If the individuals are a child and adult not a family member, the caregivers of the individual should be notified by the Senior Leader or designate. Caregivers should also be notified if children or youth are engaged in abusive behaviour including misconduct with each other. If the engagement is between minors of the same age and it appears to be consensual, parents should be notified but child protection authorities would not need to be notified. If the engagement involves minors but there is an age difference of three years or if it is not consensual, child protection authorities should be notified along with the parents. No parent or organizations leadership has the right to tell you not to fulfill your legal duty to report to child protection authorities. 7f Q: What should a leader do if she/he is concerned that a parent is intoxicated/drunk when picking up a child or youth from a program?A: If the leader has a legitimate concern about the safety and protection of the child they should report this to Childrens Aid or Child and Family Services. In most cases, proof is not required and the law protects you in your reporting if you are not malicious in your reporting. They do have a duty to report if they feel the child is in need of protection.
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