Narrative Therapy: A Multidimensional Case Evaluation

This case study examines the effects of narrative therapy on a client diagnosed with depression. I performed six sessions of narrative therapy with the client while measuring change in several different ways. After the referral, the study began with the client taking the Millon Clinical Multiaxial Inventory-III (MCMI-III), as well as setting two goal attainment scales that measured behaviors linked to her depression. I kept field notes during the intervention in order to track the progress of the sessions as well as my application of the model. At the conclusion of the intervention I performed a depth interview with the client and then she took a final MCMI-III. This thesis highlights the effects of specific facets of the narrative therapy model, as well as examining the impacts on the client the intervention was focused on. The measurements of this study indicate a decrease in the client\u27s depression as well as other positive changes. The implications for the use of this model in social work is also discussed

PCB and PBDE levels in southern and northern resident killer whales: update on contaminant levels and related health effects

Salish Sea’s killer whale populations are among the most contaminated marine mammals in the world and face risks related to the effects of polychlorinated biphenyls (PCBs) and related contaminants such as polybrominated diphenylethers (PBDEs). While PCBs have long been banned, they continue to present toxic risks to marine mammals, along with a number of other, emerging persistent, bioaccumulative and toxic (PBT) contaminants. Since PBTs have been identified as a threat to the recovery of resident killer whale populations under the auspices of the US Endangered Species Act and the Canadian Species at Risk Act (SARA), documenting the presence, trends and health effects of emerging PBT contaminants represents an important line of research. In the summer of 2016 and 2017, we collected blubber biopsies from 10 southern resident and nine northern resident killer whales. PCB and PBDE analyses were conducted using high resolution gas chromatography/high resolution mass spectrometry. Given the likelihood of significant temporal changes in the concentrations of these contaminants, this study will provide updated contaminant concentration data and strengthen our ability to prioritize contaminants of concern in resident killer whales. In addition, stable isotope and fatty acid analyses will provide important information on diet and nutritional status. Together with analyses of the expression of essential genes involved in immune response, hormone regulation and lipid metabolism, this study provides new essential information on the health status of resident killer whales as it relates to contaminant exposure and will help inform the development and application of recovery action plans

Using DTAGs to understand sound use, behavior, and vessel and associated noise effects in Southern Resident killer whales

Prey availability and disturbance from vessels and noise are identified threats to the recovery of endangered Southern Resident killer whales. Vessels and noise can mask echolocation signals used to capture fish prey and/or disrupt foraging behavior with implications for energy acquisition. In the U.S., vessel regulations have been implemented since 2011 to protect killer whales from vessel disturbance, particularly given the extent of whale-watching activities in the Salish Sea. We utilized suction cup-attached digital acoustic recording tags (DTAGs), consisting of hydrophones and movement sensors, to measure received noise levels, understanding killer whale use of sound, and determine effects of vessels and noise on subsurface behavior. During the 29 tag deployments on individually identified killer whales, we collected detailed geo-referenced vessel data concurrently as conditions allowed, along with opportunistic observations of predation to validate feeding. Received noise levels (dB re 1microPa) were significantly different across years but not consistently lower after the implementation of vessel regulations. Of the vessel factors considered, both vessel count and speed, but not distance, explained differences in noise levels, which may reflect changes in whale-watching vessel practices after regulations implementation. Additionally, the analysis of data from these animal-borne tags allow us to better understand subsurface foraging behavior involving the use of sound, to quantify foraging rates at an individual level, and to understand detailed vessel and noise effects. The results, along with those of other related studies, inform conservation and management measures that aim to promote Southern Resident recovery

Powerful Relationships in Leadership: A Collection of Modern Leadership Insights

Powerful Relationships in Leadership caters to front runners of the leadership world who are looking for fresh perspectives into how to properly organize and create trailblazing organizations. This book is a collection of articles on aspects of leading. It separates itself from other management texts by offering perceptions of entry level personnel. It is our hope that you will begin to appreciate how entry level personnel view management and their role in guiding administrators.https://openriver.winona.edu/leadershipeducationbooks/1001/thumbnail.jp

Status of Muon Collider Research and Development and Future Plans

The status of the research on muon colliders is discussed and plans are outlined for future theoretical and experimental studies. Besides continued work on the parameters of a 3-4 and 0.5 TeV center-of-mass (CoM) energy collider, many studies are now concentrating on a machine near 0.1 TeV (CoM) that could be a factory for the s-channel production of Higgs particles. We discuss the research on the various components in such muon colliders, starting from the proton accelerator needed to generate pions from a heavy-Z target and proceeding through the phase rotation and decay ($\pi \to \mu \nu_{\mu}$) channel, muon cooling, acceleration, storage in a collider ring and the collider detector. We also present theoretical and experimental R & D plans for the next several years that should lead to a better understanding of the design and feasibility issues for all of the components. This report is an update of the progress on the R & D since the Feasibility Study of Muon Colliders presented at the Snowmass'96 Workshop [R. B. Palmer, A. Sessler and A. Tollestrup, Proceedings of the 1996 DPF/DPB Summer Study on High-Energy Physics (Stanford Linear Accelerator Center, Menlo Park, CA, 1997)].Comment: 95 pages, 75 figures. Submitted to Physical Review Special Topics, Accelerators and Beam

Fluid lavage in patients with open fracture wounds (FLOW): an international survey of 984 surgeons

<p>Abstract</p> <p>Background</p> <p>Although surgeons acknowledge the importance of irrigating open fracture wounds, the choice of irrigating fluid and delivery pressure remains controversial. Our objective was to clarify current opinion with regard to the irrigation of open fracture wounds.</p> <p>Methods</p> <p>We used a cross-sectional survey and a sample-to-redundancy strategy to examine surgeons' preferences in the initial management of open fracture wounds. We mailed this survey to members of the Canadian Orthopaedic Association and delivered it to attendees of an international fracture course (AO, Davos, Switzerland).</p> <p>Results</p> <p>Of the 1,764 surgeons who received the questionnaire, 984 (55.8%) responded. In the management of open wounds, the majority of surgeons surveyed, 676 (70.5%), favoured normal saline alone. Bacitracin solution was used routinely by only 161 surgeons (16.8%). The majority of surgeons, 695 (71%) used low pressures when delivering the irrigating solution to the wound. There was, however considerable variation in what pressures constituted high versus low pressure lavage. The overwhelming majority of surgeons, 889 (94.2%), reported they would change their practice if a large randomized controlled trial showed a clear benefit of an irrigating solution – especially if it was different from the solution they used.</p> <p>Conclusion</p> <p>The majority of surgeons favour both normal saline and low pressure lavage for the initial management of open fracture wounds. However, opinions varied as regards the comparative efficacy of different solutions, the use of additives and high versus low pressure. Surgeons have expressed considerable support for a trial evaluating both irrigating solutions and pressures.</p

High-angle wave instability and emergent shoreline shapes : 1. Modeling of sand waves, flying spits, and capes

Author Posting. © American Geophysical Union, 2006. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Journal of Geophysical Research 111 (2006): F04011, doi:10.1029/2005JF000422.Contrary to traditional findings, the deepwater angle of wave approach strongly affects plan view coastal evolution, giving rise to an antidiffusional “high wave angle” instability for sufficiently oblique deepwater waves (with angles between wave crests and the shoreline trend larger than the value that maximizes alongshore sediment transport, ∼45°). A one-contour-line numerical model shows that a predominance of high-angle waves can cause a shoreline to self-organize into regular, quasiperiodic shapes similar to those found along many natural coasts at scales ranging from kilometers to hundreds of kilometers. The numerical model has been updated from a previous version to include a formulation for the widening of an overly thin barrier by the process of barrier overwash, which is assumed to maintain a minimum barrier width. Systematic analysis shows that the wave climate determines the form of coastal response. For nearly symmetric wave climates (small net alongshore sediment transport), cuspate coasts develop that exhibit increasing relative cross-shore amplitude and pointier tips as the proportion of high-angle waves is increased. For asymmetrical wave climates, shoreline features migrate in the downdrift direction, either as subtle alongshore sand waves or as offshore-extending “flying spits,” depending on the proportion of high-angle waves. Numerical analyses further show that the rate that the alongshore scale of model features increases through merging follows a diffusional temporal scale over several orders of magnitude, a rate that is insensitive to the proportion of high-angle waves. The proportion of high-angle waves determines the offshore versus alongshore aspect ratio of self-organized shoreline undulations.This research was funded by the Andrew W. Mellon Foundation and NSF grants DEB-05-07987 and EAR-04-44792