Dark Night of the Soul: Catholic Articulations of Atomic Trauma in Seirai Yuichi\u27s Ground Zero, Nagasaki

This paper discusses how the Catholic faith of the hibakusha (atomic bomb victims), their families, and their community members shapes their understanding of the atomic bombing in Seirai Yuichi’s fiction work Ground Zero, Nagasaki. In re-emphasizing the preeminence of the individual atomic experience and moving away from the canonical Nagasaki atomic narratives of Nagai Takashi and Hayashi Kyoko, Seirai illuminates the essential role that familial connection to the faith plays in an individual’s personal belief and how that belief thus affects one’s interpretation of the bombing. When the bonds of family are broken, post-atomic faith begins to falter and survivors enter a Dark Night of the Soul in which, caught between belief and doubt, hope and trauma, they seek meaning. Seirai explores these moments of searching within this traumatic gray space in his text, illustrating how atomic warfare destroys the self of the faithless individual

Treating The Opioid Epidemic: Innovations For Expanding Access To Buprenorphine In The United States

The opioid epidemic in the United States has been a growing problem over the past two decades. There were 2.1 million people in the United States who met the clinical criteria for an opioid use disorder in 2016. Of these people, less than a third of them received evidence based treatment. This thesis focuses on one of the promising forms of treatment for opioid use disorder: medically assisted maintenance (MAT) using buprenorphine. This thesis aimed to answer the following question. How well do the innovative ways for providing medically assisted treatment using buprenorphine address the current barriers to access in the United States? In order to answer this question, the thesis is broken into three parts. The first chapter focuses on the evidence supporting buprenorphine as an effective treatment for opioid use disorder. The second chapter focuses on identifying the current barriers to accessing buprenorphine for MAT in the United States. The third chapter focuses on four innovative methods for providing treatment with buprenorphine: project ECHO, hub and spoke, collaborative care, and hospital initiation of buprenorphine. These innovations were assessed based on their ability to address some of the key barriers to access that were identified in chapter 2 of the thesis

The Other Selwyn: John Richardson Selwyn in Melanesia and Cambridge

This brochure accompanies a small exhibition entitled 'The Other Selwyn: John Richardson Selwyn in Melanesia and Cambridge' held in Selwyn College Library (8-24 September 2017). The brochure reflects on the life of John Richardson Selwyn (1844-1898), Bishop of Melanesia, second Master of Selwyn College in Cambridge, and generous collector and donor to the Museum of Archaeology and Anthropology. It was the result of a collaboration between the Museum of Archaeology and Anthropology and Selwyn College Cambridge.Exhibition brochure on John Richardson Selwyn and his legacy in the collections of the Museum of Archaeology and Anthropology and Selwyn College Cambridge

Training Toolkit for Caregivers at Residential Care Centers in Peru

Introduction: Health Bridges International (HBI) is developing a training toolkit for caregivers working with marginalized youth in residential care centers (RCCs) in Peru. The toolkit represents an amalgamation of best practices, evidence informed research, and the results of our QI survey tool. We predicted that current Peruvian caregivers will identify topics of interest that differ from current literature. Methods: Surveys were distributed to over 150 RCCs throughout Peru using email and WhatsApp messages in a snowball format, starting at the administration level. The survey required 20-30 minutes to complete and was completely voluntary. All preliminary data was de-identified and imputed into a REDCap database. Results: We received 113 responses, 108 of which met inclusion criteria for data analysis. Section 1 served to better define our target population and the make-up of each RCC, including location and size of the center. Section 2 used a Likert scale to rank interest in training areas, showing an overwhelming interest in all areas. The final section of the survey allowed participants to write-in any trainings of personal interest. Conclusion: The results of our survey showed that there is a general desire for greater caregiver training. In addition, our survey elicited new training topics, such as challenges of COVID-19, substance abuse, and physical health. These topics will be investigated further by our research team, advisory group, and colleagues at UCSM, so that we can incorporate these topics into our toolkit. Furthermore, the demographic results will inform curriculum implementation during Stage 2 of this project

A qualitative study of the post-treatment experiences and support needs of survivors of lymphoma

Purpose: To explore the post-treatment experiences and preferences for follow-up support of lymphoma survivors. Methods: Two focus groups were conducted with 17 participants to explore informational, psychological, emotional, social, practical and physical needs, 6-30 months post-treatment for lymphoma. Perceptions regarding a potential model of survivorship care were also elicited. Results: Thematic content analysis revealed five key themes: Information; Loss and uncertainty; Family, support and post-treatment experience; Transition, connectivity and normalcy, and Person-centred posttreatment care. Participants described a sense of loss as they transitioned away from regular interaction with the hospital at the end of treatment, but also talked about the need to find a “new normal”. Establishing post-treatment support structures that can provide individualised information, support, reassurance and referrals to community and peer support were identified as a helpful way to navigate the transition from patient to post-treatment survivor. Conclusions: Participants in our study articulated a need for a flexible approach to survivorship care, providing opportunities for individuals to access different types of support at different times posttreatment. Specialist post-treatment nurse care coordinators working across acute and community settings may offer one effective model of post-treatment support for survivors of haematological malignancies

Deciding to Disclose a Mental Health Condition in Male Dominated Workplaces; A Focus-Group Study

Objectives: Deciding to disclose a mental illness in the workplace requires thoughtful informed decision making. Decision aids are increasingly used to help people make complex decisions, but need to incorporate relevant factors for the context. This study aimed to identify factors and processes that influence decision making about such disclosure to inform the development of a disclosure decision aid tool for employees in male dominated industries.Methods: We invited 15 partner organisations in male dominated industries to facilitate the recruitment of employees who either had disclosed a mental health condition in their workplace; or occupied a position to whom employees disclosed to focus groups addressing the aims.Results: The majority of the organisations had explicit policies that employees must disclose and so were unable to be seen countenancing non-disclosure as an option. Two focus groups were conducted (n = 13) with mainly male (62%), full-time employees (85%), and both disclosed (46%) and authority (54%) groups. Six themes, all barriers, were identified as influencing decision making processes: knowledge about symptoms, and self-discrimination (internal), stigma and discrimination by others, limited managerial support, dissatisfaction with services, and/or a risk of job or financial loss (external).Conclusion: Decisions to disclose mental health conditions, even by those who had done so, appear driven entirely by consideration of negative aspects. This suggests that anti-discrimination policy, legislation, awareness campaigns, and manager training have yet to change negative perceptions, and that any decision aid tool needs to incorporate counterfactual positive aspects that appear not to be an important consideration in such male dominated workplaces. There is a disconnect between organisational policies favouring disclosure and employees favouring non-disclosure that has caused tension within the organisational culture. Decision aid tools may assist employees with an active disclosure without waiting for an event to occur, giving the control of the decision back to the employee

The Forum: Winter 2004

Winter 2004 journal of the Honors Program at the University of North Dakota. The issue includes stories, poems, essays and art by undergraduate students.https://commons.und.edu/und-books/1055/thumbnail.jp

Active Children Through Individual Vouchers Evaluation: A Mixed-Method RCT

Introduction Physical activity declines in adolescence, especially among those in deprived areas. Research suggests this may result from accessibility barriers (e.g., cost and locality). The Active Children Through Individual Vouchers Evaluation RCT aimed to improve the fitness and heart health of teenagers in Wales with the help of teenagers who co-produced the study. Study design This study was a mixed-method RCT. Setting/participants Before data collection, which took place at baseline, 6 months, and 12 months for both arms, 7 schools were randomized by an external statistician (4 intervention schools, n=524; 3 control schools, n=385). Intervention The Active Children Through Individual Vouchers Evaluation intervention included provision of activity vouchers (£20 per month), a peer mentoring scheme, and support worker engagement for 12 months between January and December 2017. Data analysis occurred February–April 2018. Main outcome measures Data included measures of cardiovascular fitness, cardiovascular health (blood pressure and pulse wave analysis), motivation, and focus groups. Results The intervention showed a trend to improve the distance ran (primary outcome) and was significant in improving the likelihood of intervention teenagers being fit (OR=1.21, 95% CI=1.07, 1.38, p=0.002). There was a reduction in teenagers classified as having high blood pressure (secondary outcome) in the intervention group (baseline, 5.3% [28/524]; 12 months, 2.7% [14/524]). Data on where teenagers used vouchers and evidence from focus groups showed that teenagers wanted to access more unstructured, informal, and social activities in their local areas. Conclusions Active Children Through Individual Vouchers Evaluation identified methods that may have a positive impact on cardiovascular fitness, cardiovascular health, and perspectives of activity. Consulting with teenagers, empowering them, and providing more local opportunities for them to take part in activities that are fun, unstructured, and social could positively impact teenage physical activity

Capturing the Data: Nutrition Risk Screening of Adults in Hospital

This study aims to explore limitations with the Malnutrition Screening Tool in identifyingmalnutrition risk, in a cohort of 3,033 adult Australian medical and surgical hospital inpatients. Seventy-two percent of patients were screened; illness and medical care limited access to others. Malnutrition risk (16.5%; n = 501) was found in all age groups with a trend to higher risk in medical wards; 10% (n = 300) of patients with communication barriers were excluded. Systematic screening increased dietitians’ referrals by 39%. Further research is required to enable screening of all patients, including those with communication issues with an easy to use valid tool