The available evidence is primarily of very low quality and indicates that mirtazapine adjunct is not clearly associated with an effect for negative symptoms, but there is some indication of a positive effect on overall mental state and akathisia. No effect was found for global state or leaving the study early and data were not available for quality of life or service use. Due to limitations of the quality and applicability of the evidence it is not possible to make any firm conclusions, the role of mirtazapine adjunct in routine clinical practice remains unclear. This underscores the need for new high-quality evidence to further evaluate mirtazapine adjunct for schizophrenia.

Baccalaureate students are able to achieve PMH clinical competencies through the use of community-based experiences and to transfer PMH competencies to other clinical settings.

NANDA 1 is always coming up with new diagnoses, but how many of us have ever used the nursing diagnosis Chronic Sorrow? I know this diagnosis well-I've been living with it for twenty-three years. I am an RN, a nurse educator and the mother of a son with mental retardation.My son is adopted. My husband and I were unable to have biological children, and we became foster parents.We had custody of my husband's eleven-year-old daughter from a previous marriage and had adopted an eight-year-old girl for whom we had been foster parents.We were called by the foster parent agency about my son when he was two-and-a-half weeks old.We were told that his mother was mildly retarded, possibly more culturally deprived than actually retarded, and that the child was

No abstract

Although evidence supports the role of social support in perinatal women's well-being, the dynamics of these relationships remain unclear. We examined changes in social support and social network from prenatal to postpartum periods from 168 perinatal women. Individual differences in emotional intelligence (EI) were examined as moderating these changes. Results suggest that functional social support increases in postpartum while social network decreases. EI significantly moderated change in functional social support from fathers such that functional social support from a woman's father was significantly higher in women with higher EI. Changes in social network were not significantly affected by EI.