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Closely Supervised Foster Care Linked With Reduced Pregnancy Rates For Delinquent Teens, Study Says
Teenage girls with a history of delinquency who were placed in individualized foster care programs were less likely than their peers to become pregnant, according to a study in the June issue of the Journal of Consulting and Clinical Psychology, HealthDay/Forbes reports. Teen girls in foster care have an elevated risk for pregnancy, according to HealthDay/Forbes. For example, an earlier survey of teens in three states found that nearly half of girls in the foster care system reported a pregnancy by age 19, according to David Kerr, an assistant professor of psychology at Oregon State University and lead author of the new study.For the study, researchers followed 166 girls ages 13 to 17 with court orders to receive treatment for criminal behavior in either specialized foster care or a group-care facility. The specialized programs, known as Multidimensional Treatment Foster Care, were created in the 1980s. Under the programs, foster parents who are trained in behavioral management provide one-on-one care to severely delinquent youths, and the parents receive consultation, support and crisis intervention services from program supervisors. One of the most important aspects of the program is that, unlike group care, the teens are isolated from other troubled youths. There are 51 such programs in the U.S.After two years, 26% of the girls in MTFC became pregnant, compared with almost 47% of those in group care, according to the study. The MTFC group also showed lower levels of criminal activity and arrests, and increased school engagement. Kerr said, "One of the most interesting aspects of this research is that the MTFC program was created to reduce crime, not pregnancy." He added, "It specifically targeted changing the girl"s environment: her home, her peers and her school experience. The focus was on giving her lots of supervision, support for responsible behavior, and consistent, non-harsh consequences for negative behavior" (HealthDay/Forbes, 6/17).
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Doctors And Hospitals Look For Ways To Cut Costs, Improve Quality
The "patient-centered" practices movement is growing in popularity, the New York Times reports. Primary care physicians in the practices "spend more time with patients, emphasize prevention and education" to keep patients healthy and "can handle many medical problems without referrals to specialists." Often, "this kind of care can reduce a patient"s medical bills." Dr. Jose Batlle, a doctor in the Bronx, for example, gives patients his cell phone number and helps his patients cut down on the number of prescription drugs that have him prescribed to them by multiple specialists. "I prefer to keep them healthy than treat them when they are sick," Batlle says.
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There Is Enormous Waste In The Production And Reporting Of Research Evidence
In a viewpoint published Online First and in a future edition of The Lancet, Sir Iain Chalmers, of the James Lind Library, Oxford, UK, and Professor Paul Glasziou, of the University of Oxford, UK, debate on the unnecessary waste that exists in medical research. This misuse leads many reports to be of no purpose. If there is a lack of functional reports and if they are not easily accessible, research is of no help to patients or their doctors.
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American Dental Association, The Forsyth Institute Collaborate To Pilot Evidence-Based Dentistry Training Course

The American Dental Association (ADA) Center for Evidence-Based Dentistry (EBD) and The Forsyth Institute announce the offering of an intensive, five-day training course in evidence-based principles and tools, including systematic reviews and applications for clinical decision making. The collaborative "ADA/Forsyth EBD Course" scheduled from Oct. 19 to 23 at Forsyth headquarters in Boston, Mass., will link the evidence-based dentistry initiatives of the ADA with the breadth and depth of Forsyth"s scientific research. The interactive course will include a pre-assignment and multiple hands-on activities throughout the week. Accommodating up to 30 students, the curriculum includes: -- Formulating clinical questions -- Searching for evidence -- Critical reading and appraisal -- Implementation The coursework focuses on human clinical trials to include: -- Quantitative and qualitative outcomes -- Risk calculation -- Diagnosis -- Systematic reviews Distinguished faculty The distinguished faculty includes Dr. Richard Niederman, D.M.D., M.A., director, Center for Evidence-Based Dentistry at The Forsyth Institute and Derek Richards, B.D.S., director, Center for Evidence-based Dentistry at Oxford University, UK. Who should apply and how to do it "The ADA/Forsyth EBD Course" is for dentists, members of the dental team, educators and researchers, including practitioners involved in practice-based research networks, and other dental professionals. Interested candidates must fill out a questionnaire and submit current curriculum vitae. Reviewed on a rolling admission process, notification of accepted applications will occur, as decisions are made, but no later than August 19, 2009. Participants will be responsible for their travel and housing. Upon completion, attendees receive continuing education credit from the ADA and a certificate of EBD from The Forsyth Institute. The Forsyth Institute is the world"s leading independent organization dedicated to scientific research and education in oral health and related biomedical sciences. Established in 1910, Forsyth"s goal is to lead the discovery, communication and application of breakthroughs in oral health and disease prevention that will significantly improve the health and well-being of the nation and the world. The ADA Center for Evidence-based Dentistry disseminates the most current scientific evidence and helps dentists implement it into practice. The Center has several ongoing programs to help dentists implement EBD, including the EBD Champion Program, the ADA Evidence Reviewer Workshop, and the EBD website. The American Dental Association -- Celebrating its 150th anniversary, the not-for-profit ADA is the nation"s largest dental association, representing more than 157,000 dentist members. The premier of oral health information, the ADA has advocated for the public"s health and promoted the art and science of dentistry since 1859. The ADA"s state-of-the-art research facilities develop and test dental products and materials that have advanced the practice of dentistry and made the patient experience more positive. The ADA Seal of Acceptance long has been a valuable and respected guide to consumer dental care products. The monthly Journal of the American Dental Association (JADA) is the best-read scientific journal in dentistry. American Dental Association


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