Consensus Statement of the National Association of EMS Physicians International Association of Fire Chiefs and the International Association of Chiefs of Police: Best Practices for Collaboration Between Law Enforcement and Emergency Medical Services During Acute Behavioral Emergencies.

Emergency Medical Services (EMS) and law enforcement (LE) frequently work as a team in encounters with individuals experiencing acute behavioral emergencies manifesting with severe agitation and aggression. The optimal management is a rehearsed, coordinated effort by law enforcement and EMS providing the necessary interventions to address behaviors that endanger the patient, the responders, and the public. The purpose of this document is to provide guidance and direction in the shared responsibility of managing and caring for a person displaying behavioral instability with irrational, agitated, and/or violent behavior.

Retrospective Validation of a Protocol to Limit Unnecessary Transport of Assisted-living Residents Who Fall.

Abstract Objective. Emergency medical services (EMS) often transports patients who suffer simple falls in assisted-living facilities (ALFs). An EMS "falls protocol" could avoid unnecessary transport for many of these patients, while ensuring that patients with time-sensitive conditions are transported.

A quality improvement study on avoidable stressors and countermeasures affecting surgical motor performance and learning.

Objective: To explore how the 2 most important components of surgical performance--speed and accuracy-are influenced by different forms of stress and what the impact of music is on these factors.

Background: On the basis of a recently published pilot study on surgical experts, we designed an experiment examining the effects of auditory stress, mental stress, and music on surgical performance and learning and then correlated the data psychometric measures to the role of music in a novice surgeon's life.

Methods: Thirty-one surgeons were recruited for a crossover study.

Spindle Cell Metaplastic Breast Carcinoma with Leiomyoid Differentiation: A Case Report.

BACKGROUND: Metaplastic carcinoma of the breast is a rare but distinct entity within the group of undifferentiated invasive carcinomas. This entity accounts for less than 0.5% of all breast cancers and contains elements of epithelial (ductal), mesenchymal, and intermediate forms of differentiation.

An application of the theory of planned behavior to the proximal and distal etiology of sexual offending.

Emerging from social psychology, the theory of planned behavior offers a potentially useful theoretical framework for research into the etiology of sexual offending in adults and adolescents. The theory of planned behavior--a cognitive-affective theory about the role of attitudes, subjective norms, and perceived behavioral control on behaviors--may provide a means by which to link distal etiological factors into proximal ones involved in the offense process, providing greater specificity to the ''abused- abuser'' hypothesis. The theory of planned behavior also provides a theoretical framework with which to specify mechanisms involved in the proximal offense cycle.

The effects of high-intensity, low-frequency active sonar on rainbow trout.

This study investigated the effects on rainbow trout (Oncorhynchus mykiss) of exposure to high-intensity, low-frequency sonar using an element of the standard Surveillance Towed Array Sensor System Low Frequency Active (LFA) sonar source array. Effects of the LFA sonar on hearing were tested using auditory brainstem responses. Effects were also examined on inner ear morphology using scanning electron microscopy and on nonauditory tissues using general pathology and histopathology.

Anatomical and functional recovery of the goldfish (Carassius auratus) ear following noise exposure.

Fishes can regenerate lateral line and inner ear sensory hair cells that have been lost following exposure to ototoxic antibiotics. However, regenerative capabilities following noise exposure have not been explored in fish. Moreover, nothing is known about the functional relationship between hair cell damage and hearing loss, or the time course of morphological versus functional recovery in fishes.

Gender influences as an impediment to knowledge sharing: when men and women fail to seek peer feedback.

Little research has considered how work team characteristics influence feedback-seeking behavior among team members. The authors' aim in this research was to identify central sources of influence on feedback-seeking behavior in a mixed-gender context. They placed men and women in work groups of varying gender composition.

A social learning theory comparison of the sexual victimization of adolescent sexual offenders and nonsexual offending male delinquents.

Objective: This paper tests hypotheses based on Garland and Dougher's (1990) formulation of the "victim to victimizer" relationship which is a social learning theory etiological approach to adolescent sexual offending.

Method: Two hundred sixteen adolescent sexually victimized sexual offenders and 93 adolescent sexually victimized nonsexual offending delinquents from three Michigan sexual offender treatment facilities participated in an anonymous cross-sectional survey regarding their sexual victimization and offending as well as a social desirability measure.

Results: When comparing the two groups, nonsexually offending delinquents and sexually offending delinquents, the latter were found to have: closer relationships with their perpetrators; a higher chance of having a male perpetrator(s); a longer duration of sexual victimization; more forceful sexual victimization; and the experience of penetration as part of their sexual victimization.