Healthcare providers’ experiences screening for intimate partner violence among migrant and seasonal farmworking women: A phenomenological study

Background Migrant and seasonal farmworking (MSFW) women patients experience substantially more intimate partner violence (IPV) than the general population, but few health-care providers screen patients for IPV. While researchers have examined screening practices in health-care settings, none have exclusively focused on MSFW women. Objective The aim of this phenomenological study was to explore the experiences of health-care providers who have screened for and/ or addressed IPV with MSFW women patients. Design Researchers utilized descriptive phenomenology to capture the lived experiences of these health-care providers. Data were analysed using Colaizzi’s seven-stage framework. Setting and participants Interviews were conducted with nine female participants – all of whom: (i) were clinically active health-care providers within the MSFW community, (ii) were bilingual in English and Spanish or had access to a translator, (iii) had treated MSFW patients who had experienced IPV and (iv) were at least 18 years of age. Results Participants’ experiences were reflected in four emergent themes: (i) provider-centered factors, (ii) patient-centered factors, (iii) clinic-centered factors and (iv) community-centered factors. Participants described barriers to establish routine IPV assessment, decrease patient ambivalence and increase on-site support and community resources. Discussion and conclusions This study aimed to generate a greater understanding of the experiences of health-care providers with screening for and addressing IPV with MSFW patients. Implications and recommendations for research, clinical practice and policy are provided

Postpartum Prolapsed Leiomyoma with Uterine Inversion Managed by Vaginal Hysterectomy

Background. Uterine inversion is a rare, but life threatening, obstetrical emergency which occurs when the uterine fundus collapses into the endometrial cavity. Various conservative and surgical therapies have been outlined in the literature for the management of uterine inversions. Case. We present a case of a chronic, recurrent uterine inversion, which was diagnosed following spontaneous vaginal delivery and recurred seven weeks later. The uterine inversion was likely due to a leiomyoma. This late-presenting, chronic, recurring uterine inversion was treated with a vaginal hysterectomy. Conclusion. Uterine inversions can occur in both acute and chronic phases. Persistent vaginal bleeding with the appearance of a prolapsing fibroid should prompt further investigation for uterine inversion and may require surgical therapy. A vaginal hysterectomy may be an appropriate management option in select populations and may be considered in women who do not desire to maintain reproductive function

Healthcare providers’ experiences screening for intimate partner violence among migrant and seasonal farmworking women: A phenomenological study

Background Migrant and seasonal farmworking (MSFW) women\r\npatients experience substantially more intimate partner violence (IPV)\r\nthan the general population, but few health-care providers screen\r\npatients for IPV. While researchers have examined screening practices\r\nin health-care settings, none have exclusively focused on MSFW\r\nwomen.\r\nObjective The aim of this phenomenological study was to explore\r\nthe experiences of health-care providers who have screened for and/\r\nor addressed IPV with MSFW women patients.\r\nDesign Researchers utilized descriptive phenomenology to capture\r\nthe lived experiences of these health-care providers. Data were analysed using Colaizzi’s seven-stage framework.\r\nSetting and participants Interviews were conducted with nine female\r\nparticipants – all of whom: (i) were clinically active health-care providers within the MSFW community, (ii) were bilingual in English and\r\nSpanish or had access to a translator, (iii) had treated MSFW patients\r\nwho had experienced IPV and (iv) were at least 18 years of age.\r\nResults Participants’ experiences were reflected in four emergent\r\nthemes: (i) provider-centered factors, (ii) patient-centered factors, (iii)\r\nclinic-centered factors and (iv) community-centered factors. Participants\r\ndescribed barriers to establish routine IPV assessment, decrease patient\r\nambivalence and increase on-site support and community resources.\r\nDiscussion and conclusions This study aimed to generate a greater\r\nunderstanding of the experiences of health-care providers with\r\nscreening for and addressing IPV with MSFW patients. Implications\r\nand recommendations for research, clinical practice and policy are\r\nprovided

Design of Thermal Exchange, a microgravity experiment on-board the International Space Station

The International Space Station was mainly thought as an orbiting research laboratory and, as such, it comprises several resources to test and validate new technologies to be used in future space missions. This paper presents the design and development of Thermal Exchange, a microgravity experiment that aims at on-orbit validation of low-toxicity heat pipe performance for thermal control of future spacecraft, both manned and unmanned. Tendency for future space systems points towards simplicity, limited maintenance needs and high reliability. In particular, vehicle thermal control should be based on passive systems, requiring low maintenance and very limited remote control. Accordingly, heat-pipes are good candidates for future spacecraft thermal control, due to their low complexity and maintenance requirement, as well as their high reliability. In this scenario, Thermal Exchange aims at the development of a payload for the demonstration, in microgravity conditions, of heat pipes and low toxicity working fluids, which would make it compatible with human applications (habitable modules) as well. Thermal Exchange is a sub-rack payload that will be operated inside the Microgravity Science Glovebox (MSG) on-board the International Space Station (ISS). Thermal Exchange consists of a main housing that accommodates the experiment and the avionics containers: the experiment container includes four axially grooved heat pipes filled with low-toxicity working fluids and mixtures, whereas the avionics container encloses three electronic boards to perform power management and distribution, health management and on-board data handling autonomously once on-board the ISS. Thermal Exchange will be launched with the Space-X 9 launch vehicle inside a half CTB (Cargo Transfer Bag). Thermal Exchange will be uninstalled and stowed at the end of the on-orbit operations and will re-enter with the Space-X 10 vehicle. This paper first provides a general overview of Thermal Exchange and the project schedule, including the operations to be carried out on the ISS. Then, it deals with the design and development of the ground and flight models. Main results are presented and discussed. Eventually main conclusions are drawn

THERMAL EXCHANGE: A PAYLOAD FOR TECHNOLOGICAL EXPERIMENTS ON-BOARD THE INTERNATIONAL SPACE STATION

The International Space Station was mainly thought as an orbiting research laboratory and, as such, it comprises several resources to test and validate new technologies to be used in future space missions. This paper presents the progresses in the design and development process of Thermal Exchange, an experiment that aims at on-orbit validation of low-toxicity heat pipe performance for thermal control of future spacecraft, both manned and unmanned. Tendency for future space systems points towards simplicity, limited maintenance needs and high reliability. In particular, thermal control should be based on passive systems, requiring low maintenance and very limited remote control. Accordingly, heat-pipes are good candidates for future spacecraft thermal control, due to their low complexity and maintenance need, as well as their high reliability. In this scenario, Thermal Exchange aims at the development of a payload for the demonstration, in microgravity conditions, of heat pipes and low toxicity working fluids, which would make it compatible with human applications (habitable modules) as well. Thermal Exchange is a sub-rack payload that will be operated inside the Microgravity Science Glovebox (MSG) on-board the International Space Station (ISS). Thermal Exchange consists of a main housing that accommodates the experiment and the avionics containers: the experiment container includes four axially grooved heat pipes filled with low-toxicity working fluids and mixtures, whereas the avionics container encloses three electronic boards to perform power management and distribution, health management and on-board data handling autonomously once on-board the ISS. Thermal Exchange will be launched with SpaceX-9 launch vehicle in 2016 inside an half CTB (Cargo Transfer Bag). Thermal Exchange will be uninstalled and stowed at the end of the on-orbit operations and will re-entry on Earth with SpaceX-10 launch vehicle. This paper first provides a general overview of Thermal Exchange and the project schedule, including the operations to be carried out on the ISS. Then, it deals with the development of the ground and flight models, highlighting first the differences between the models and then focusing on the assembly integration and test of both models. Main results are presented and discussed. Eventually main conclusions are draw

Design of Thermal Exchange, a microgravity experiment on-board the International Space Station

The International Space Station was mainly thought as an orbiting research laboratory and, as such, it comprises several resources to test and validate new technologies to be used in future space missions. This paper presents the design and development of Thermal Exchange, a microgravity experiment that aims at on-orbit validation of low-toxicity heat pipe performance for thermal control of future spacecraft, both manned and unmanned. Tendency for future space systems points towards simplicity, limited maintenance needs and high reliability. In particular, vehicle thermal control should be based on passive systems, requiring low maintenance and very limited remote control. Accordingly, heat-pipes are good candidates for future spacecraft thermal control, due to their low complexity and maintenance requirement, as well as their high reliability. In this scenario, Thermal Exchange aims at the development of a payload for the demonstration, in microgravity conditions, of heat pipes and low toxicity working fluids, which would make it compatible with human applications (habitable modules) as well. Thermal Exchange is a sub-rack payload that will be operated inside the Microgravity Science Glovebox (MSG) on-board the International Space Station (ISS). Thermal Exchange consists of a main housing that accommodates the experiment and the avionics containers: the experiment container includes four axially grooved heat pipes filled with low-toxicity working fluids and mixtures, whereas the avionics container encloses three electronic boards to perform power management and distribution, health management and on-board data handling autonomously once on-board the ISS. Thermal Exchange will be launched with the Space-X 9 launch vehicle inside a half CTB (Cargo Transfer Bag). Thermal Exchange will be uninstalled and stowed at the end of the on-orbit operations and will re-enter with the Space-X 10 vehicle. This paper first provides a general overview of Thermal Exchange and the project schedule, including the operations to be carried out on the ISS. Then, it deals with the design and development of the ground and flight models. Main results are presented and discussed. Eventually main conclusions are drawn

THERMAL EXCHANGE: A PAYLOAD FOR TECHNOLOGICAL EXPERIMENTS ON-BOARD THE INTERNATIONAL SPACE STATION

The International Space Station was mainly thought as an orbiting research laboratory and, as such, it comprises several resources to test and validate new technologies to be used in future space missions. This paper presents the progresses in the design and development process of Thermal Exchange, an experiment that aims at on-orbit validation of low-toxicity heat pipe performance for thermal control of future spacecraft, both manned and unmanned. Tendency for future space systems points towards simplicity, limited maintenance needs and high reliability. In particular, thermal control should be based on passive systems, requiring low maintenance and very limited remote control. Accordingly, heat-pipes are good candidates for future spacecraft thermal control, due to their low complexity and maintenance need, as well as their high reliability. In this scenario, Thermal Exchange aims at the development of a payload for the demonstration, in microgravity conditions, of heat pipes and low toxicity working fluids, which would make it compatible with human applications (habitable modules) as well. Thermal Exchange is a sub-rack payload that will be operated inside the Microgravity Science Glovebox (MSG) on-board the International Space Station (ISS). Thermal Exchange consists of a main housing that accommodates the experiment and the avionics containers: the experiment container includes four axially grooved heat pipes filled with low-toxicity working fluids and mixtures, whereas the avionics container encloses three electronic boards to perform power management and distribution, health management and on-board data handling autonomously once on-board the ISS. Thermal Exchange will be launched with SpaceX-9 launch vehicle in 2016 inside an half CTB (Cargo Transfer Bag). Thermal Exchange will be uninstalled and stowed at the end of the on-orbit operations and will re-entry on Earth with SpaceX-10 launch vehicle. This paper first provides a general overview of Thermal Exchange and the project schedule, including the operations to be carried out on the ISS. Then, it deals with the development of the ground and flight models, highlighting first the differences between the models and then focusing on the assembly integration and test of both models. Main results are presented and discussed. Eventually main conclusions are drawn