Behavioral Code Team

Practice Problem: The organization lacked an evidence-based intervention for behavioral emergencies within the inpatient acute care setting, leading to increased mechanical restraints. A security-driven paradigm was the organization\u27s primary tool for addressing behavioral crises and lacked a more patient-centered treatment and support paradigm. PICOT: The PICOT question that guided this project was In the Veteran patient population admitted to acute inpatient services (P), how does having a behavioral code team respond to behavioral emergencies (I) compared to the current practice (C) affect the prevalence of mechanical restraint usage (O) within an eight week period (T). Evidence: Seven high-quality studies met the inclusion criteria and found that a behavioral code team was an evidence-based practice. Behavioral code teams provide patient-centered care by providing a team of mental health professionals to respond to behavioral emergencies and promote a patient-centered treatment and support paradigm. Intervention: Implemented and tracked a behavioral code team consisting of mental health professionals in an inpatient setting to assist with de-escalating disruptive behaviors and avoiding the use of mechanical restraints. Outcome: The result of the two-tailed paired sample t-test was not statistically significant for the behavioral code team. However, the behavioral code team did result in clinical significance with an overall decrease in the number of mechanical restraints utilized during a behavioral emergency. Conclusion: The behavioral code team provided a patient-centered care environment that ensured mental health professionals treated behavioral emergencies

From Tragedy to Hope: A Study of the Parallels in the Thought of Samuel Johnson and T.S. Eliot

In this paper, the similarities between Samuel Johnson and T.S. Eliot are explored. Both men opposed the optimism with which their contemporary intellectuals had begun to regard humanity and its possibility for fulfillment on earth. While Johnson was from the 18th century, and Eliot from the 20th, the intellectual movements of their day bore a similar tone. The reaction of these two men was also similar. Johnson and Eliot presented in their writing a similar view of the emptiness of human experience. This is most apparent in Johnson\u27s The History of Rasselas and Eliot\u27s The Waste Land, and the parallel theme of these works shall be explained. The theme they present opposes the optimism which gained intellectual momentum during Johnson\u27s and Eliot\u27s lifetime. Perhaps responding to the need for hope to juxtapose such a view of life, or to provide solace to the events of unhappy lives, both men embrace the orthodox Christianity of the Church of England. Furthermore, both Johnson and Eliot believed orthodox Christianity to be the best means of organizing society, and bringing order to the chaos these men believed to exist

Effects of Personality and Situation upon Appraisal and Coping

Stress and coping represent one of the most studied areas in the field of psychology. There is little agreement regarding the proper conceptualization of coping. Cognitive processesand personality traits have been proposed as important determinants of coping responses. Low correlations have been consistently found between personality traits, appraisal, and coping. Many studies in the stress and coping literature suffer from methodological issues. This study was designed to improve upon typical methodology, determine the relative predictive utility ofpersonality cluster approaches over dimensional approaches, and determine the effect of personality and situation upon appraisal and coping. Participants read hypothetical stressor scenarios. Primary and secondary appraisals were assessed. The Cybernetic Coping Scale (CCS) was used to assess coping responses. The CCS has demonstrated reliability and greater factor stability superior to other coping measures. Participants were drawn from the Marshall University undergraduate population. Clusters of personality traits were less effective predictors of appraisal and coping responses than were domains of personality traits. Situation was superior to personality for the prediction of appraisal responses. Situation was a superior predictor than were personality traits or appraisals for coping responses. There was greater variance across situations than between participants, but stable relationships between personality, appraisal, and coping variables were observed

Marriage as sacrament and covenant: A new model for pre-marriage education based upon the rite of marriage

The Catholic Church has long proclaimed the importance of pre-marriage education for the benefit of spouses and of society. It requires that education on the Rite of Marriage be part of the immediate phase of pre-marriage education so that the bridegroom and bride may receive greater benefit from the celebration of the sacrament. The terms ‘sacrament’ and ‘covenant’, which are central to the Church’s teaching on marriage, lack meaning for many Catholics and particularly for the young. The current emphasis on New Evangelization includes a call to find new ways to speak to an increasingly secular society. One challenge facing the Church as it seeks to clarify the meaning of marriage is to develop a new model of pre-marriage education which communicates the Church’s teaching on sacrament and covenant in a manner which speaks clearly and effectively to the culture of today. This thesis develops a new model of pre-marriage education using the method of liturgical theology to identify the fundamental official meanings (theology) of the Rite of Marriage and to compare those meanings with the meanings couples derive from the experience of the rite. This study is limited to the Catholic Rite of Marriage as it is enacted within the Australian context

The Scholarship of Application

In the late 1990s, Oregon State University brought its Extension field faculty into academic departments where they are evaluated for promotion and tenure. This was intended to promote better collaboration and integration of research, teaching, and Extension. Research and teaching faculty, however, continue to respond to the traditional academic reward and recognition system. Newer faculty members are unclear about the meaning of our commitment to the threefold mission. Extension field faculty are frustrated by the apparently incongruent demands of scholarship and public service. This article provides a brief history of the engagement movement in higher education and describes current dilemmas

In the Beginning There Was Colectomy: Current Surgical Options in Familial Adenomatous Polyposis

Multiple colonic polyps, almost guaranteed colorectal cancer by the age of forty-five and an increased risk of non-colonic cancers characterise the autosomal dominant condition Familial Adenomatous Polyposis (FAP) [1]. The patients and families faced with such a diagnosis present many difficult management challenges, both surgical and non-surgical. We discuss the current surgical options for treatment of the more significant manifestations of FAP arising in the colorectum and duodenum as well as desmoid diseas

Ko Te Reo i Te Rarawa pēhea rainī te tūāhua reo o ngā mātua tūpuna i Pukepoto

Ko te reo Māori, ko te reo ā-iwi, ko te mita o te reo; ko tēhea te mea nui? Mai anō tēnei tohe, ko tēhea ko runga, ko tēhea ko raro. He tinitini nei anō ngā rangahau mō te reo Māori, mō ngā rautaki whakaora i te reo Māori. Erangi pēhea mai ana te reo ā-iwi? I te mahi nui whakaharahara ki te whakaora i te reo Māori e noho ana tērā kaupapa hei aronga matua. E kite mārika ana i ngā hua o aua mahi, hoi anō te reo ā-iwi, te hanga nei, i paria ki rāhaki. Nā, i ngā tau tata nei anō, kua kitea rawatia te wheinu o ngā uri whakaheke, o ngā mokopuna o ngā iwi ki te ako i ō rātou mita, otirā i te reo ā-iwi. Hoi anō tēnei kaupapa rangahau he mea whakapiripiri ki ngā rangahau mō te reo Māori, waihoki mō te reo ā-iwi. E āta mātai atu ana te titiro ki te reo ake anō o Te Rarawa, otirā ki te reo o ngā kaumātua i noho ai i Pukepoto. Ko ngā whāinga matua o te rangahau kia kitea pēnā rainī he patanga wō te reo i te kāinga ki te mana, ki te ahurea o te tangata, ka tahi. Ka rua, kia huraina mai ai ngā āhuatanga motuhake o te reo o Te Rarawa, otirā, o te reo i Pukepoto. I runga i tērā, ko te pātai matua o te rangahau nei, ko tēnei; Pēhea hoki nei te tūāhua reo Māori i kōrerohia ai e ngā mātua tūpuna, e ngā wheinga i Pukepoto? Nā, e tutuki ngā whāinga rangahau, i arohia wētahi rīpene kei te pātaka kōrero o Te Reo Irirangi Māori o Te Hiku o Te Ika e mau nei ngā reo o ngā kaumātua o te kāinga e kōrero ana mō ngā tini āhuatanga e hāngai ana ki ō rātou nā ao. E tāwharautia ana tēnei kaupapa e te Rangahau Kaupapa Māori, ā, ko ngā tikanga, ko ngā kōrero i ahua mai i Te Rarawa i Pukepoto e noho mai ana hei tāhuhu tikanga mōku. Ko ngā taupānga hou kua oti kē nei i a Te Reo Irirangi Māori o Te Hiku o Te Ika hei taputapu e nanao atu ai a hau ki te pātaka kōrero o Te Hiku o Te Ika, e pai ai taku āta wānanga i ngā kupu, i ngā kōrero kei ngā rīpene e mau ana. Tokowhitu katoa ngā kaumātua i āta arohia e ahau i tēnei rangahau nei, katoa i noho ai i Pukepoto. Ko tāku, he āta whakataringa atu ki wā rātou kōrero, ka āta arotake ai i wētahi kupu, i wētahi kīwaha, i wētahi whakatakotoranga rerenga kōrero i kaha whakahuangia e rātou mā. Kei te puke tuaono te roanga o ngā kōrero mō ngā kitenga o te rangahau; i mārama te kite atu he tini ngā momo kupu, ngā kīwaha me ngā rerenga kōrero he tikanga kē atu wō rātou, he whakamahinga kē anō, ka mutu, arā wētahi kāhore e tino rangona ana i wēnei wā nei. Nō reira, ko tā tēnei rangahau e whai ana kia whakahokia wēnei āhuatanga o te reo ki ngā arero o ngā uri whakaheke o Pukepoto, o Te Rarawa, otirā o Te Hiku o te Ika

The Association between Physical Health and Delusional-Like Experiences: A General Population Study

Objective: Delusional-like experiences (DLE) are prevalent in the community. Recent community based studies have found that DLE are more common in those with depression and anxiety disorders, and in those with subclinical symptoms of depression and anxiety. Chronic physical disorders are associated with comorbid depression and anxiety; however, there is a lack of evidence about the association of DLE with common physical conditions. The aim of this study was to explore associations between the common physical disorders and DLE using a large population sample

Anxiety and depressive disorders are associated with delusional-like experiences: a replication study based on a National Survey of Mental Health and Wellbeing

Objectives: There is growing evidence that delusional-like experiences (DLE) are associated with common mental disorders. In particular, a National Mental Health Survey conducted in Australia during 2007 reported an association between DLE and both anxiety disorder and major depressive disorder (MDD). However, the previous study did not examine this association with respect to subtypes of anxiety disorder nor with severity of MDD. The aim of this study was to examine the associations between DLE and both anxiety disorder and MDD in more detail based on an independent population sample

Collaborative Filtering and Inference Rules for Context-Aware Learning Object Recommendation

Learning objects strive for reusability in e-Learning to reduce cost and allow personalization of content. We argue that learning objects require adapted Information Retrieval systems. In the spirit of the Semantic Web, we discuss the semantic description, discovery, and composition of learning objects using Web-based MP3 objects as examples. As part of our project, we tag learning objects with both objective and subjective metadata. We study the application of collaborative filtering as prototyped in the RACOFI (Rule-Applying Collaborative Filtering) Composer system, which consists of two libraries and their associated engines: a collaborative filtering system and an inference rule system. We are currently developing RACOFI to generate context-aware recommendation lists. Context is handled by multidimensional predictions produced from a database-driven scalable collaborative filtering algorithm. Rules are then applied to the predictions to customize the recommendations according to user profiles. The prototype is available at inDiscover.net