Latest news with #intervention
Washington Post
3 days ago
- General
- Washington Post
Abandoning Somalia again will empower terrorists
America never seems to get Somalia right. For decades, U.S. relations with the impoverished, strategically located country on the Horn of Africa have followed a pattern: cycles of robust intervention followed by neglect. During times of neglect, violence and terrorism take root and threaten the stability of the entire region. And the United States is forced to return.
CNN
28-05-2025
- Entertainment
- CNN
Nick Kroll ‘produced' John Mulaney's intervention because he ‘was so deeply scared that he was gonna die'
Being the subject of an intervention is never easy, but Nick Kroll is letting it be known that organizing one is no walk in the park either. During a recent episode of the 'Armchair Expert with Dax Shepard' podcast, Shepard, who is a recovering addict, brought up to Kroll how much he loved John Mulaney's Netflix standup special in which the comedian talks about his 2020 stint in rehab. Shepard wondered if Kroll was at the intervention that led to Mulaney's stay. 'I produced that intervention,' Kroll said. The 'Big Mouth' creator and star said it was 'so scary and brutal' to go through given that it was the height of the pandemic, he was living in Los Angeles and Mulaney was in New York at the time. Kroll's wife was also pregnant and he was in the midst of filming the movie 'Don't Worry Darling.' 'John was running around New York City like a true madman,' Kroll recalled. 'And I was so deeply scared that he was gonna die.' There were complicated feelings and many details to attend to, Kroll said, including who the intervention expert would be and where Mulaney would go for treatment. 'You're all of a sudden going back, being like, 'Oh, oh, oh — that's why I've had an inconsistent friend for the last X amount of time. Oh, this explains that,'' Kroll said. 'And so, it gives you both empathy for them and also a tremendous amount of anger because they've been lying to you.' Mulaney has since gotten sober and married actress Olivia Munn with whom he shares two young children. CNN has reached out to representatives for Mulaney for comment.
Medscape
26-05-2025
- Health
- Medscape
ED Alert Boosts A1c Testing, Not Glycemic Control
An emergency department (ED)–based alert led to a higher rate of A1c testing among patients with diabetes overdue for routine monitoring but did not significantly improve long-term glycemic control. METHODOLOGY: In this retrospective study, the researchers analyzed 348,490 ED visits by patients with diabetes from January 2017 to September 2023. In November 2017, an alert was added to the ED Information System for 13,609 patients with diabetes within the health system who were noncompliant with routine biannual A1c testing. The intervention targeted patients already undergoing blood tests. The primary outcome was the ordering of an A1c test, and the secondary outcome was the change in A1c levels on follow-up testing (> 30 days after the index test). TAKEAWAY: Following the alert's implementation, physicians ordered A1c tests for 1442 noncompliant patients. A1c testing among noncompliant patients increased from 1.5% to 12.1% ( P < .001), peaking at 22.5% in the first year but declining to 5.1% by 6 years. < .001), peaking at 22.5% in the first year but declining to 5.1% by 6 years. Among patients with follow-up data, the average decrease in A1c was −0.42, which was not significantly different from the preintervention decrease of −0.60 ( P = .40). = .40). Only 15% of noncompliant patients achieved the target A1c level (< 7.0), whereas 26% of the general ED population reached this goal ( P = .013). IN PRACTICE: "A targeted ED intervention was associated with increased testing for A1c; however, the effects decreased over time without educational communication," the authors wrote. "While the program demonstrates operational feasibility, it does not appear to result in significant improvements in A1c levels relative to the overall ED population," they added. SOURCE: The study was led by Daniel L. Shaw, MD, MCSO, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston. It was published online on May 15, 2025, in The Journal of Emergency Medicine . LIMITATIONS: The study's retrospective design and reliance on a single institution's database limited generalizability. The classification of "noncompliance" might have misrepresented patients early in the calendar year. The COVID-19 pandemic during the study period could have affected ED use, follow-up, and testing compliance. DISCLOSURES: This study did not receive any outside funding or sponsorship. The authors did not disclose any conflicts of interest.
CBC
22-05-2025
- CBC
Woman assaulted while walking at Assiniboine Park Sunday, Winnipeg police say
A man is in police custody after a woman was assaulted while walking on a path beside Roblin Boulevard at Assiniboine Park on Sunday afternoon. A 25-year-old woman was walking east on the path near Commissary Road around 1:30 p.m. when she was assaulted, police said in a news release on Thursday. A man demanded money while assaulting her, until several witnesses in the area intervened and he fled, police said. Paramedics were called about a man needing a medic on Commissary Road, which runs through the park, around 5:30 p.m. the same day. The man was taken to hospital in stable condition, where police identified him as a suspect in the robbery. No charges have been laid yet, but police said the man remains in custody on an unrelated and unendorsed warrant.
The National
22-05-2025
- Health
- The National
Inside Abu Dhabi's child abuse centre offering sanctuary to those in need
In a quiet corner of Abu Dhabi, a 24-hour centre is working to ensure that no child at risk 'slips through the cracks'. Known simply as the Child Centre, the unit operates under the Family Care Authority and brings together experts from across the child protection spectrum from social workers, case managers, psychologists, police, prosecutors and doctors to intervene when a child is in danger. 'The Child Centre is a specialised entity that focuses on ensuring the well-being and protection of children of all ages, nationalities, and ethnicities in Abu Dhabi,' Naema Al Shehhi, case manager at the centre told The National. 'There is a multidisciplinary approach. It brings together several entities: social workers, case managers, psychologists, law enforcement including both police and prosecution, and medical professionals. We also work with schools, hospitals, and any entity that interacts directly with children.' How are incidents reported? Based in Khalifa City, all of these services are housed under one roof, allowing staff to respond quickly and efficiently. 'We often receive reports from schools or hospitals and co-ordinate with them when creating intervention plans,' Ms Al Shehhi said. The range of cases the centre sees is wide, from physical, emotional and sexual abuse, to neglect and exploitation such as forced labour or trafficking. 'We receive various types of cases: psychological, sexual, or physical abuse; exploitation including child labour or trafficking; and cases of neglect where children lack proper care,' she said. While some reports come from hospitals or schools, others are submitted directly by the public. 'We receive reports through various channels: the hotline (800 444), our online portal, hospitals, police, prosecution, and sometimes directly from the public,' she said. How are cases assessed? Once a report is filed, the team begins with a risk assessment to identify where the danger is coming from. 'Each case is assessed individually. The first step is a risk assessment. We identify the source of risk – whether it's a parent, another child, a stranger -and tailor the next steps accordingly,' Ms Al Shehhi said. 'If a parent is the source of risk, we may interview the child at school to avoid influence or pressure. Only after understanding the risk do we involve the parents.' In cases of serious and immediate danger, action is swift. 'We assess whether the child can safely return to their environment. If not, alternative care is arranged – ideally within the extended family. If that's not possible, we place the child in a shelter. Our services run 24/7. When a child is at immediate risk, action is taken within hours.' That kind of fast response is not common in the UAE, and that is exactly the point. 'Compared to police or prosecution processes, our intervention is more immediate and especially in child abuse cases. We act quickly and prioritise high-risk cases,' she said. She said most of the abuse cases she sees are not malicious but happen because of a lack of education. 'While child abuse is common, many cases stem from a lack of education or awareness. In such cases, we focus on educating and empowering parents.' Still, the more serious cases leave a mark. 'Most of the abuse we see is unintentional, due to lack of awareness. But intentional abuse cases do occur and those are the ones that stay with you the most. Children don't always have the awareness or means to report what's happening to them.' Who is supported? In terms of age, the centre can help everyone from newborns to teenagers. 'We receive cases from children as young as a few months old up to 18 years.' And while their work touches many aspects of child welfare, adoption cases are handled elsewhere. 'We don't handle adoption cases. There's a separate centre that specialises in that,' she said. Often, a case may begin with a school, a hospital, or a family member reaching out but it can also come from a parent walking into the centre in distress. Once the team determines how serious the risk is, they build a response plan. 'We conduct a comprehensive evaluation, implement an intervention plan, and follow up before closing any case.' Even then, follow-ups continue. 'Our case management process continues after the initial intervention,' Ms Al Shehhi said. 'We conduct a comprehensive evaluation, implement an intervention plan, and follow up before closing any case.' Children with special needs are considered high-risk, and their cases are treated with even greater caution. Ms Al Shehhi said that while it is natural for parents or schools to report to police, they are always welcome to come directly to the centre. 'We encourage families and schools to report directly to us, unless there's immediate danger then they should go to the police, who will refer the case to us.' In the end, she said, if a child is unsafe and nobody acts, the consequences can be devastating. 'Children cannot protect themselves, and the adult they're living with determines the quality of their life. If there's danger and our entity doesn't intervene, there may be no way the child can be removed from that environment.'
