Simulating The Evacuation Of Students Attending Classes At The York University's Keele Campus

Since 1901, Canada has recorded over a thousand disasters (CDD, 2015). Ontario, a province possessing the highest number of incidents and evacuations, has adapted and learned from these experiences. The Emergency Movement and Civil Protection Act (1990) for example, legally obliged government organizations to maintain an emergency management program. Despite the measures set out by the government there were still a dominant paradigm of disaster, leading many to believe nothing could be done, when one occurs, or that they would not be affected one. Morris (2009) proved otherwise when it came to school shootings (a technological disaster). Morris illustrated awareness and preparedness in school led to resilient students who were less affected by the disasters. An important observation, as school disasters in particular have the ability to cause jarring impacts to a community. This Major Paper presents a simulation model that evacuates students attending classes at the York University Keele Campus. The agent-based model was constructed with data acquired from York University's Office of Institutional Planning & Analysis, York University?s Planning & Architectural Design branch of the Campus Services and Business Operation, and scientific journals. The model reproduces the number of registered students during the winter semester of 2014, from Monday to Sunday. This cycle stops, when a signal is given, informing of an evacuation. From this instance, students, proceeded through a series of steps before arriving to one of four predetermined evacuation zones. These steps included: 1) pre-movement 2) descend the corresponding multi-floored building and 3) travel at an assigned speed to the evacuation zone. Forty evacuation scenarios, ten for each evacuation zones, were generated at varying times of day, throughout the week. The gathered times were further analyzed with three variables: the student population, the number of buildings holding classes, and the percentage of buildings within the vicinity of an evacuation zone. The student population demonstrated a logarithmic relationship with time, where evacuation time became more consistent as the population sized increased. When it came to the analysis of the number of buildings holding classes, the greater number of buildings, meant the buildings were more spread out and resulted in similar evacuation time for all four evacuation zones. The last case examined the percentage of buildings within the vicinity of an evacuation zone, half of the evacuation zones possessed a linear relationship, where the greater percentages meant a shorter arrival time

La felicidad y su relación con la motivación laboral en los millennials con educación superior del distrito de Trujillo - 2019

Esta investigación tuvo como objetivo determinar de qué manera la felicidad se relaciona con la motivación laboral en los millennials con educación superior del distrito de Trujillo - 2019. Se utilizó un diseño descriptivo, correlacional, empleando un cuestionario con escala de Likert y opciones múltiples como instrumento para la recolección de datos. La muestra en estudio estuvo representada por millennials con educación superior que laboran en el distrito de Trujillo - 2019. A través de los resultados y la aplicación del Coeficiente de Pearson, cruzando los indicadores de felicidad con los indicadores de motivación laboral, se logró contrastar la hipótesis general, concluyendo que la felicidad se relaciona de manera directa y positiva con la motivación laboral en la unidad de estudio, evidenciándose a través de relaciones fuertes entre los indicadores de Felicidad (Engagement - Compenetración con lo que se hace, Emociones Positivas, Relaciones positivas de soporte, Sentido de Logro y cuán felices se consideran los millennials) con la mayoría de indicadores de Motivación Laboral. Entre los principales hallazgos tenemos que el índice máximo de correlación positiva se da entre la mayor/menor Claridad de un Propósito de Vida y la mayor/menor Claridad de Metas que acercan a los millennials a su visión personal. Lo mismo con los niveles de Deleite por ir a trabajar y los niveles de ánimo y energía en el trabajo. Salvo por el indicador correspondiente a la fidelidad laboral que se manifestó en una correlación negativa, es decir que las variables Felicidad - Motivación Laboral incrementan o disminuyen de manera inversamente proporcional, todas las demás correlaciones se mostraron de manera positiva, es decir, ambas variables aumentan o disminuyen a medida que aumenta o disminuye cualquiera de ellas.The objective of this research was to determine how happiness relates to job motivation in millennials with higher education in the district of Trujillo - 2019. A descriptive, correlational design was used, using a questionnaire with a Likert scale and multiple options as an instrument for data collection. The study sample was represented by 376 millennials with higher education who work in the district of Trujillo - 2019. Through the results and the application of the Pearson Coefficient, crossing 7 happiness indicators with 20 indicators of work motivation, it was possible to contrast the general hypothesis, concluding that happiness is directly and positively related to work motivation in the study unit. Except for the indicator corresponding to work fidelity that was manifested in a negative correlation, that is to say that the Happiness - Work Motivation variables increase or decrease inversely proportionally, all other correlations were positive, that is, both variables increase or decrease as any of them increases or decreases. Likewise, the objectives outlined in the project are met and a study base is provided for future research that, if continued, could generate an interesting trend in human management, happiness and work motivation of Trujillo millennials.Tesi

Simulating the Evacuation of Students Attending Classes at the York University’s Keele Campus

Since 1901, Canada has recorded over a thousand disasters (CDD, 2015). Ontario, a province possessing the highest number of incidents and evacuations, has adapted and learned from these experiences. The Emergency Movement and Civil Protection Act (1990) for example, legally obliged government organizations to maintain an emergency management program. Despite the measures set out by the government there were still a dominant paradigm of disaster, leading many to believe nothing could be done, when one occurs, or that they would not be affected one. Morris (2009) proved otherwise when it came to school shootings (a technological disaster). Morris illustrated awareness and preparedness in school led to resilient students who were less affected by the disasters. An important observation, as school disasters in particular have the ability to cause jarring impacts to a community. This Major Paper presents a simulation model that evacuates students attending classes at the York University Keele Campus. The agent-based model was constructed with data acquired from York University’s Office of Institutional Planning & Analysis, York University’s Planning & Architectural Design branch of the Campus Services and Business Operation, and scientific journals. The model reproduces the number of registered students during the winter semester of 2014, from Monday to Sunday. This cycle stops, when a signal is given, informing of an evacuation. From this instance, students, proceeded through a series of steps before arriving to one of four predetermined evacuation zones. These steps included: 1) pre-movement 2) descend the corresponding multi-floored building and 3) travel at an assigned speed to the evacuation zone. Forty evacuation scenarios, ten for each evacuation zones, were generated at varying times of day, throughout the week. The gathered times were further analyzed with three variables: the student population, the number of buildings holding classes, and the percentage of buildings within the vicinity of an evacuation zone. The student population demonstrated a logarithmic relationship with time, where evacuation time became more consistent as the population sized increased. When it came to the analysis of the number of buildings holding classes, the greater number of buildings, meant the buildings were more spread out and resulted in similar evacuation time for all four evacuation zones. The last case examined the percentage of buildings within the vicinity of an evacuation zone, half of the evacuation zones possessed a linear relationship, where the greater percentages meant a shorter arrival time

Minimizing Penile Prosthesis Implant Infection: What Can We Learn From Orthopedic Surgery?

The implantation of penile protheses for the surgical treatment of erectile dysfunction has risen in popularity over the past several decades. Considerable advances have been made in surgical protocol and device design, specifically targeting infection prevention. Despite these efforts, device infection remains a critical problem, which causes significant physical and emotional burden to the patient. The aim of this review is to broaden the discussion of best practices by not only examining practices in urology, but additionally delving into the field of orthopedic surgery to identify techniques and approaches that may be applied to penile prothesis surgery

Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats

PURPOSE: To evaluate the effects of peritoneal lavage with bupivacaine on survival and initial resistance of anastomosis on distal colon, performed under peritonitis or not. METHODS: Forty rats, weighing from 300 to 350g (321.29±11.31g), were randomly divided in four groups and underwent laparotomy and anastomosis on the distal colon six hours after induction of peritonitis by intraperitoneal injection of autologous fecal material or not. Group 1: No peritonitis and lavage with 3ml NS; Group 2: No peritonitis and lavage with 8 mg.kg-1 (± 0.5 mL) of 0.5% bupivacaine added to 2.5 mL of NS; Group 3: Peritonitis and lavage with 3ml NS; Group 4: Peritonitis and lavage with 8 mg.kg-1 (± 0.5 mL) of 0.5% bupivacaine added to 2.5 mL of NS. Necropsies were performed on the animals that died and the time of death was recorded. Surviving animals were submitted to euthanasia on the fifth post-operative day and Total Energy of Rupture biomechanical test (TER) was applied. RESULTS: Group 4 showed survival increase compared to Group 3, without statistical significance. Group 3 presented the smallest average TER, with statistical significance. CONCLUSION: Peritonitis increased mortality and influenced negatively the resistance of colic anastomosis in rats. Peritoneal lavage with bupivacaine increased anastomotic resistance.78378

Implementing psychological support for health and social care staff affected by the COVID-19 pandemic: a qualitative exploration of staff well-being hubs ('Resilience Hubs') using normalisation process theory

Objectives Evaluate the implementation of Hubs providing access to psychological support for health and social care keyworkers affected by the COVID-19 pandemic. Design Qualitative interviews informed by normalisation process theory to understand how the Hub model became embedded into normal practice, and factors that disrupted normalisation of this approach. Setting Three Resilience Hubs in the North of England. Participants Hub staff, keyworkers who accessed Hub support (Hub clients), keyworkers who had not accessed a Hub, and wider stakeholders involved in the provision of staff support within the health and care system (N=63). Results Hubs were generally seen as an effective way of supporting keyworkers, and Hub clients typically described very positive experiences. Flexibility and adaptability to local needs were strongly valued. Keyworkers accessed support when they understood the offer, valuing a confidential service that was separate from their organisation. Confusion about how Hubs differed from other support prevented some from enrolling. Beliefs about job roles, unsupportive managers, negative workplace cultures and systemic issues prevented keyworkers from valuing mental health support. Lack of support from managers discouraged keyworker engagement with Hubs. Black, Asian and minority ethnic keyworkers impacted by racism felt that the Hubs did not always meet their needs. Conclusions Hubs were seen as a valuable, responsive and distinct part of the health and care system. Findings highlight the importance of improving promotion and accessibility of Hubs, and continuation of confidential Hub support. Policy implications for the wider health and care sector include the central importance of genuine promotion of and value placed on mental health support by health and social care management, and the creation of psychologically safe work environments. Diversity and cultural competency training is needed to better reach under-represented communities. Findings are consistent with the international literature, therefore, likely to have applicability outside of the current context

HIV Infection and the Risk of World Health Organization-Defined Sudden Cardiac Death

Background People living with HIV have higher sudden cardiac death (SCD) rates compared with the general population. Whether HIV infection is an independent SCD risk factor is unclear. Methods and Results This study evaluated participants from the Veterans Aging Cohort Study, an observational, longitudinal cohort of veterans with and without HIV infection matched 1:2 on age, sex, race/ethnicity, and clinical site. Baseline for this study was a participant\u27s first clinical visit on or after April 1, 2003. Participants were followed through December 31, 2014. Using Cox proportional hazards regression, we assessed whether HIV infection, CD4 cell counts, and/or HIV viral load were associated with World Health Organization (WHO)–defined SCD risk. Among 144 336 participants (30% people living with HIV), the mean (SD) baseline age was 50.0 years (10.6 years), 97% were men, and 47% were of Black race. During follow‐up (median, 9.0 years), 3035 SCDs occurred. HIV infection was associated with increased SCD risk (hazard ratio [HR], 1.14; 95% CI, 1.04–1.25), adjusting for possible confounders. In analyses with time‐varying CD4 and HIV viral load, people living with HIV with CD4 counts \u3c 200 cells/mm3 (HR, 1.57; 95% CI, 1.28–1.92) or viral load \u3e 500 copies/mL (HR, 1.70; 95% CI, 1.46–1.98) had increased SCD risk versus veterans without HIV. In contrast, people living with HIV who had CD4 cell counts \u3e 500 cells/mm3 (HR, 1.03; 95% CI, 0.90–1.18) or HIV viral load \u3c 500 copies/mL (HR, 0.97; 95% CI, 0.87–1.09) were not at increased SCD risk. Conclusions HIV infection is associated with increased risk of WHO‐defined SCD among those with elevated HIV viral load or low CD4 cell counts

Assessment of pain during rest and during activities in the postoperative period of cardiac surgery

OBJECTIVE: to assess the intensity and site of pain after Cardiac Surgery through sternotomy during rest and while performing five activities. METHOD: descriptive study with a prospective cohort design. A total of 48 individuals participated in the study. A Multidimensional Scale for Pain Assessment was used. RESULTS: postoperative pain from cardiac surgery was moderate during rest and decreased over time. Pain was also moderate during activities performed on the 1st and 2nd postoperative days and decreased from the 3rd postoperative day, with the exception of coughing, which diminished only on the 6th postoperative day. Coughing, turning over, deep breathing and rest are presented in decreased order of intensity. The region of the sternum was the most frequently reported site of pain. CONCLUSION: the assessment of pain in the individuals who underwent cardiac surgery during rest and during activities is extremely important to adapt management and avoid postoperative complications and delayed surgical recovery

A service mapping exercise of four health and social care staff mental health and wellbeing services, Resilience Hubs, to describe health service provision and interventions

Background: NHS England funded 40 Mental Health and Wellbeing Hubs to support health and social care staff affected by the COVID-19 pandemic. We aimed to document variations in how national guidance was adapted to the local contexts of four Hubs in the North of England.Methods: We used a modified version of Price’s (2019) service mapping methodology. Service level data were used to inform the analysis. A mapping template was adapted from a range of tools, including the European Service Mapping Schedule, and reviewed by Hub leads. Key data included service model; staffing; and interventions. Data were collected between March 2021 – March 2022 by site research assistants. Findings were accuracy-checked by Hub leads, and a logic model developed to theorise how the Hubs may effect change.Results: Hub goals and service models closely reflected guidance; offering: proactive outreach; team-based support; clinical assessment; onward referral, and rapid access to mental health support (in-house and external). Implementation reflected a service context of a client group with high mental health need, and high waiting times at external mental health services. Hubs were predominantly staffed by experienced clinicians, to manage these mental health presentations and organisational working. Formulation-based psychological assessment and the provision of direct therapy were not core functions of the NHS England model, however all Hubs incorporated these adaptations into their service models in response to local contexts, such as extensive waiting lists within external services, and/or client presentations falling between gaps in existing service provision. Finally, a standalone clinical records system was seen as important to reassure Hub users of confidentiality. Other more nuanced variation depended on localised contexts.Conclusion: This study provides a map for setting up services, emphasising early understandings of how new services will integrate within existing systems. Local and regional contexts led to variation in service configuration. Whilst additional Hub functions are supported by available literature, further research is needed to determine whether these functions should comprise essential components of staff wellbeing services moving forward. Future research should also determine the comparative effectiveness of service components, and the limits of permissible variation.Study registration: researchregistry6303.</p