Mistreatment of Providers by Patients in Emergency Medicine

Background: •Mistreatment and disrespect of healthcare providers including verbal harassment, sexual harassment, and physical harassment is relatively commonplace in the clinical setting. •Per Bureau of Labor Statistics, healthcare professionals are at a 16x greater risk of violence than professionals in other service fields1. •Much of this mistreatment is from colleagues and superiors2, but a significant portion is from patients and their families with prior studies showing anywhere from 6-67% percent of the mistreatment done by patients or their families2,4,5,6. •Providers may feel that being mistreated is an expected part of the job7,8. •Many resources have been dedicated to understanding and decreasing mistreatment amongst colleagues9. •Studies suggest that mistreatment from patients and their families may be potentially more prevalent than mistreatment from coworkers in the emergency department (ED) setting4,10. •The objective of this study was to quantify better understand the types of mistreatment directed towards providers and to determine whether or not it was especially prevalent in the ED setting

Cosmological Perturbations in a Universe with a Domain Wall Era

Topologically protected sheet-like surfaces, called domain walls, form when the potential of a field has a discrete symmetry that is spontaneously broken. Since this condition is commonplace in field theory, it is plausible that many of these walls were produced at some point in the early universe. Moreover, for potentials with a rich enough structure, the walls can join and form a (at large scales) homogeneous and isotropic network that dominates the energy density of the universe for some time before decaying. In this thesis, we study the faith of large scale perturbations in a cosmology with a short period of domain wall dominance. Treating the domain wall network as a relativistic elastic solid at large scales, we show that the perturbations that exited the horizon during inflation get suppressed during the domain wall era, before re-entering the horizon. This power suppression occurs because, unlike a fluid-like universe, a solid-like universe can support sizable anisotropic stress gradients across large scales which effectively act as mass for the scalar and tensor modes. Interestingly, the amplitude of the primordial scalar power spectrum can be closer to one in this cosmology and still give the observed value of $10^{-9}$ today. As a result, the usual bounds on the energy scale of inflation get relaxed to values closer to the (more natural) Planck scale. In the last part of this thesis, as an existence proof, we present a hybrid inflation model with $N$ `waterfall' fields that can realize the proposed cosmology. In this model, a domain wall network forms when an approximate $O(N)$ symmetry gets spontaneously broken at the end of inflation, and for $N \geq 5$, we show that there is a region in parameter space where the network dominates the energy density for a few e-folds before decaying and reheating the universe.Comment: Ph.D. Thesis, Dec 201

Sentencing and penal practices : Is Scotland losing its distinctiveness?

This chapter discusses sentencing and penal practices in Scotland

Conceptions and representations of the sentencing decision process

This article attempts to reflect on the success of attempts by academic research to understand and explain the sentencing decision process. It identifies conventional themes in the conception and representation of that decision process and argues that there are some important difficulties associated with them and consequently implications for both the findings of sentencing research and for approaches to sentencing reform. The article suggests a possible alternative approach to conceptualizing and representing the sentencing decision process and also raises questions about the nature of the discretionary (legal) decision process more generally

The struggle for sentencing reform : will the English guidelines model spread?

Are closely comparable countries following the path forged by England and Wales by moving towards the development of systematic sentencing guidelines by a Sentencing Council? And if they are not, how are these different paths explicable

Building a resource for studying translation shifts

This paper describes an interdisciplinary approach which brings together the fields of corpus linguistics and translation studies. It presents ongoing work on the creation of a corpus resource in which translation shifts are explicitly annotated. Translation shifts denote departures from formal correspondence between source and target text, i.e. deviations that have occurred during the translation process. A resource in which such shifts are annotated in a systematic way will make it possible to study those phenomena that need to be addressed if machine translation output is to resemble human translation. The resource described in this paper contains English source texts (parliamentary proceedings) and their German translations. The shift annotation is based on predicate-argument structures and proceeds in two steps: first, predicates and their arguments are annotated monolingually in a straightforward manner. Then, the corresponding English and German predicates and arguments are aligned with each other. Whenever a shift - mainly grammatical or semantic -has occurred, the alignment is tagged accordingly.Comment: 6 pages, 1 figur

A sense of justice : the role of pre-sentence reports in the production (and disruption) of guilt and guilty pleas

The criminal justice process in the lower and intermediate courts depends on defendants admitting guilt and being seen to do so voluntarily. Hitherto, there has been limited academic consideration of how pre-sentence reports and their associated processes interact with the dynamics of guilty pleas. Drawing on recent research following through the production, use, and interpretation of a sample of reports, this article concentrates on the troubling inconsistency with which legal professionals (especially judges and lawyers) are continually confronted: namely, between their ideals of ‘proper’ legal justice and the pragmatic daily reality in which they have to participate. How do legal professionals manage this sense of inconsistency? The article suggests that reports are vital to enabling legal professionals to process defendants in good, or at least not bad, conscience. In particular, reports pacify the lingering unease felt by legal professionals that the everyday summary court processes may be too abrupt, abstract and impersonal. Reports and their associated processes pacify this unease in three ways. Firstly, reports display to legal professionals that defendants are treated individually, and with a degree of respect and humanity. Secondly, report processes (including their anticipation) assist the management of defendants and facilitate the production of guilty pleas. Thirdly, reports, generally (but by no means always), help to facilitate the ‘closure’ of guilty pleas. In these three ways, the ‘efficienct’ mass processing of defendants via guilty pleas is enabled by a sense among legal professionals of the individualised justice which reports seem to them to display

Niche breadth and overlap of Sphagnum species in Costa Rica

Niche breadth and overlap values of Sphagnum species in Costa Rica are similar to those reported for Sphagnum-dominated peatlands in North America. Sphagnum magellanicum Brid. and S. sparsum Hampe have the broadest niche breadth of the common species in Costa Rica. Although S. sancto-josephense Crum & Crosby has a relatively narrow niche breadth, it is one of the most common species along with S. magellancium and S. sparsum in the Sphagnum habitats of Costa Rica. Niche overlap is high among species with the exception of S. platyphyllum (Braithw.) Warnst. which is found in habitats that are rich in iron. The pH, conductivity, and concentrations of Ca, Fe, Mg, Mn, Na, K, and P of Sphagnum habitats in Costa Rica are similar to those reported for páramo habitats in South America

Niche diversification of Sphagnum in Bolivia

Niche breadth values of Sphagnum species in the páramo and cloud forests of Bolivia are similar to those reported for Sphagnum-dominated peatlands in North America, but niche overlap values are higher for Sphagnum species in Bolivia. The pH, conductivity, and concentrations of Ca, Mg, Na, K, and P suggest that Sphagnum habitats in Bolivia are ombrotrophic in nature. Sphagnum is limited to small, scattered carpets in the páramo and cloud forests of the Bolivian Andes between 1800 and 4200 m. Common species found in these habitats include S. alegrense Warnst., S. boliviae Warnst., S. cuspidatum Ehrh., S. magellanicum Brid., S. oxyphyllum Warnst., S. recurvum P. Beauv., S. sanctojosephense Crum & Crosby, and S. sparsum Hampe