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Schools in the United Kingdom and elsewhere are expected to protect and promote pupil mental health. However, many school staff members do not feel confident in identifying and responding to pupil mental health difficulties and report wanting additional training in this area. We aimed to explore the feasibility of Kognito's At-Risk for Elementary School Educators, a brief, interactive web-based training program that uses a simulation-based approach to improve school staff's knowledge and skills in supporting pupil mental health. We conducted a mixed methods, nonrandomized feasibility study of At-Risk for Elementary School Educators in 6 UK primary schools. Our outcomes were (1) school staff's self-efficacy and preparedness to identify and respond to pupil mental health difficulties, (2) school staff's identification of mental health difficulties and increased risk of mental health difficulties, (3) mental health support for identified pupils (including conversations about concerns, documentation of concerns, in-class and in-school support, and referral and access to specialist mental health services), and (4) the acceptability and practicality of the training. We assessed these outcomes using a series of questionnaires completed at baseline (T1), 1 week after the training (T2), and 3 months after the training (T3), as well as semistructured qualitative interviews. Following guidance for feasibility studies, we assessed quantitative outcomes across time points by comparing medians and IQRs and analyzed qualitative data using reflexive thematic analysis. A total of 108 teachers and teaching assistants (TAs) completed T1 questionnaires, 89 (82.4%) completed T2 questionnaires, and 70 (64.8%) completed T3 questionnaires; 54 (50%) completed all 3. Eight school staff members, including teachers, TAs, mental health leads, and senior leaders, participated in the interviews. School staff reported greater confidence and preparedness in identifying and responding to mental health difficulties after completing the training. The proportion of pupils whom they identified as having mental health difficulties or increased risk declined slightly over time (median =10%; median =10%; median =7.4%), but findings suggested a slight increase in accuracy compared with a validated screening measure (the Strengths and Difficulties Questionnaire). In-school mental health support outcomes for identified pupils improved after the training, with increases in formal documentation and communication of concerns as well as provision of in-class and in-school support. Referrals and access to external mental health services remained constant. The qualitative findings indicated that school staff perceived the training as useful, practical, and acceptable. The findings suggest that brief, interactive web-based training programs such as At-Risk for Elementary School Educators are a feasible means to improve the identification of and response to mental health difficulties in UK primary schools. Such training may help address the high prevalence of mental health difficulties in this age group by helping facilitate access to care and support.

There has been growing interest in medical-legal partnership (MLP), a model which connects healthcare facilities with legal clinics to help address clients’ civil legal needs (e.g., evictions and child custody matters). More research is needed on best practices for legal needs screening and identification of subpopulations vulnerable to complex legal issues. In this study, we examined client intake and other linked administrative data from the Connecticut Veterans Legal Center which is partnered with the Veterans Affairs Connecticut Healthcare System. We aimed to examine (1) the frequency of accurate client self-reports of legal issues as compared to the legal issue identified by an attorney, (2) the extent to which clients reported repeated past and current legal issues, and (3) associations between clients’ mental health diagnoses and number of self-reported legal issues. Among 73 clients in the sample, 47 (64.4%) had a match between their self-report legal issue and the attorney-identified legal issue and 46 (74.2% of 62 clients who reported past and current issues) had at least one repeated issue. In adjusted Poisson regression models estimating the association between mental health diagnosis and clients’ number of current legal issues, clients with posttraumatic stress disorder ( b  = 0.32, 95% CI = 0.01, 0.63), and alcohol use disorder ( b  = 0.45, 95% CI = 0.15, 0.74), reported more current legal issues on average compared to those without these diagnoses. Future research should examine how best to identify and support clients’ legal needs, and how these needs interact with mental health challenges.

Anne is barely a teenager when she is sent from her family's Hever Castle to serve at the royal court of the Netherlands. There, and later in France, Anne thrives. But her powerful family has ambitious plans for her future that override any wishes of her own. When the King of England himself, Henry VIII, asks Anne to be his mistress, she spurns his advances-- he is a married man who has already conducted an affair with her sister, Mary. This rejection only intensifies Henry's pursuit, tempting Anne even as it proves to be her undoing.

Donald Neff passed away on May 10 in his hometown of York, PA, at the age of 84. The cause of death was heart disease and diabetes. Neff was a luminous writer and meticulous reporter. From humble beginnings, he had reached the top ranks of American journalism. When he then turned his formidable talents to writing books and articles about Palestine, his contracts with mainstream American publishers dried up, his income plummeted, and his fame faded. Today, even many activists in the growing Palestine solidarity movement are unaware of Neff's groundbreaking work. This is unfortunate, since he exposed critical facts about Palestine with unparalleled precision and elegance. Much of the information he uncovered is still significant today. During his long career, he reported on the Vietnam War from Tokyo and Saigon and was TIME magazine bureau chief in Houston, Los Angeles and Jerusalem. Neff's experiences also revealed a power dynamic between the US and Israel that he found astonishing.

\"A princess of Spain and the youngest daughter of the powerful monarchs Ferdinand and Isabella, Catalina is a coveted prize for a royal marriage -- and Arthur, Prince of Wales, heir to the English throne, has won her hand. But tragedy strikes and Catalina, now Princess Katherine, is betrothed to the future Henry VIII. She must wait for his coming-of-age, an ordeal that tests her resolve, casts doubt on her trusted confidants, and turns her into a virtual prisoner. But Katherine's patience is rewarded when she becomes Queen of England. The affection between Katherine and Henry is genuine, but forces beyond her control threaten to rend her marriage, and indeed the nation, apart. Henry has fallen under the spell of Katherine's maid of honor, Anne Boleyn. Now Katherine must be prepared to fight, to the end if God wills it, for her faith, her legitimacy, and her heart.\" -- From publisher's description.

While the American Legion claims that it's committed to \"devotion to its fellow servicemembers and veterans,\" Legion officials have treated veterans of the USS Liberty with hostility and disdain. Legion officials' actions against the Liberty crew have largely taken place behind closed doors, since there is a strong record of support for the crew by the Legion's membership. The animosity by Legion honchos toward Liberty veterans most likely has very little to do with the men who served on the USS Liberty, a typically diverse assortment of Americans from all over the country. The problem is that the foreign country that attacked them, killing 34 of their shipmates and injuring more than 170, was Israel. And while many people believe that the US is the most powerful nation in the world today, in reality, Israel, through its pervasively embedded and well-financed lobby, is sometimes more powerful.

Acute lung injury induced by reactive oxygen gases such as ozone (O(3)) is focal and site-selective. To define patterns of acute epithelial injury along intrapulmonary airways, we developed a new analytic approach incorporating labeling of permeable cells, airway microdissection, and laser scanning confocal microscopy, and applied it to isolated perfused rat lungs where ventilation and breathing pattern could be controlled. After exposure to O(3) (0, 0.25, 0.5, or 1.0 ppm), lungs were lavaged to assess lactate dehydrogenase (LDH) and protein, or infused with the permeability marker ethidium homodimer-1 (EthD-1) via tracheal cannula, gently lavaged, and fixed by airway infusion. The airway tree of the right middle lobe was exposed by microdissection of the axial pathway down to the terminal bronchioles; the dissection was incubated with a second nuclear dye, YOPRO-1, to label all nuclei; and whole mounts were examined by confocal microscopy. Abundance of EthD-1-positive (injured) cells was estimated as the number per epithelial volume using stereology on Z-series of projected images. For ozone concentrations of 1.0 ppm, lavage fluid LDH and total protein did not increase over controls. Exposure produced a concentration- dependent but nonhomogeneous increase in the abundance of EthD-1-labeled cells in proximal and distal conducting airways both in the main pathway, including terminal bronchioles, and in side branches. Overall, the highest EthD-1 labeling occurred in the side branches of the most proximal part of the airway tree at 1 ppm with the adjacent axial pathway airway having approximately one-third the labeling density. Density of EthD-1-labeled cells was lowest in terminal bronchioles at all O(3) doses. For the model we used, identification of injured epithelial cells by differential permeability and laser confocal microscopy appeared to be highly sensitive and permitted mapping of acute cytotoxicity throughout the airway tree and quantitative comparisons of sites with different branching histories and potential dosimetry rates.