The aim of this Campbell Systematic Review was to evaluate the effect of multi‐systemic therapy (MST) on adolescents with social, emotional, and behavioural problems based on the best available evidence. The effect is measured by a range of behavioural and psychosocial outcomes, including the number of institutional placements and arrests, the incidence of drug abuse, and personal relationships, social skills, absence from school, etc. The review is exclusively based on randomised controlled trials in which random allocation between MST and usual treatment has taken place. 266 reports were selected on the basis of title and abstract. Of these 35 were found actually to be effect studies. And finally, eight of the 35 effect studies met the pre‐set quality criteria laid down in the original Campbell/Cochrane review. The Campbell/Cochrane review concludes that MST does not have consistently better effects than other types of interventions ‐ for example, restrictive institutional placement. On the other hand, nothing indicates that MST has any negative overall effects. All in all, MST does not seem to be any better or any poorer than other treatments. The Campbell/Cochrane review concludes that there are no consistent differences in outcome between the adolescents subject to MST and those subject to alternative treatment. This conclusion is based on the best available evidence on the effectiveness of MST. Synopsis Results of eight randomised controlled trials of Multisystemic Therapy (MST) conducted in the USA, Canada, and Norway indicate that it is premature to draw conclusions about the effectiveness of MST compared with other services. Results are inconsistent across studies that vary in quality and context. There is no information about the effects of MST compared with no treatment. There is no evidence that MST has harmful effects. Abstract BackgroundMultisystemic Therapy (MST) is an intensive, home‐based intervention for families of youth with social, emotional, and behavioral problems. Masters‐level therapists engage family members in identifying and changing individual, family, and environmental factors thought to contribute to problem behavior. Intervention may include efforts to improve communication, parenting skills, peer relations, school performance, and social networks. Most MST trials were conducted by program developers in the USA; results of one independent trial are available and others are in progress. ObjectivesTo provide unbiased estimates of the impacts of MST on restrictive out‐of‐home living arrangements, crime and delinquency, and other behavioral and psychosocial outcomes for youth and families. Search strategyElectronic searches were made of bibliographic databases (including the Cochrane Library, C2‐SPECTR, PsycINFO, Science Direct and Sociological Abstracts) as well as government and professional websites, from 1985 to January 2003. Reference lists of articles were examined, and experts were contacted. Selection criteriaStudies where youth (age 10–17) with social, emotional, and/or behavi...
There is little evidence of the superiority of MST over other interventions with youth. There is also no evidence that MST has harmful effects.
Air pollution is a major factor in global heating and an increasing focus is centered on solving this problem. Urban communities take advantage of Information Technology (IT) and communications technologies in order to improve the control of environmental emissions and sound pollution. The aim is to mitigate health threatening risks and to raise awareness in relation to the effects of air pollution exposure. This paper investigates the key issues of a real-time pollution monitoring system, including the sensors, Internet of Things (IoT) communication protocols, and acquisition and transmission of data through communication channels, as well as data security and consistency. Security is a major focus in the proposed IoT solution. All other components of the system revolve around security. The bill of the materials and communications protocols necessary for the designing, development, and deployment of the IoT solution are part of this paper, as well as the security challenges. The paper’s proof of concept (PoC) addresses IoT security challenges within the communication channels between IoT gateways and the cloud infrastructure where data are transmitted to. The security implementations adhere to existing guidelines, best practices, and standards, ensuring a reliable and robust solution. In addition, the solution is able to interpret and analyze the collected data by using predictive analytics to create pollution maps. Those maps are used to implement real-time countermeasures, such as traffic diversion in a major city, to reduce concentrations of air pollutants by using existing data collected over a year. Once integrated with traffic management systems—cameras monitoring and traffic lights—this solution would reduce vehicle pollution by dynamically offering alternate routes or even enforcing re-routing when pollution thresholds are reached.
By means of the present study we intend to analyse lingual morphological aspects and demonstrate their importance and reliability as main criteria with force of evidence in using forensic dentistry to identify a person. To that end, we conducted the examination of 270 female and male adults between 21 and 40 years old, whose tongues were photographed front and side view. The purpose of the direct examination of the tongue was to emphasize morphological features: shape, type, characteristics of the longitudinal medial septum and the related grooves, as well as the lingual apex type, all of these being preserved using the alginate moulding, which helped taking the impression of the dorsal surface through direct application (from the level of the oral commissures up to the lingual tip) and that of the lateral lingual edges up to the lingual apex level. Thus, we demonstrated that the lingual impression, next to its photographic image, may constitute secure methods for forensic dentistry identification, showing that the inspection of the tongue is a real proof of life and genetic independence, in the sense that there are no two tongues with shape and texture, since lingual morphological aspects are difficult to copy and display stability over time.
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