Malevolent, Mad or Merely Human: Representations of the 'Psy' Professional in English, American and Irish Fiction

This work draws attention to the widespread, damaging, cultural depictions of psychiatrists and allied (or ‘psy’) professionals. I first explore the frequent presence of these specialists in such artefacts as horror fiction, literary novels, detective fiction, movies, comics with their related films and video games, asylum-based entertainments and cartoons. Close analysis of four representative novels will form the main body of this thesis, each fiction being set in a significant stage within the relevant historical treatment of the mad between 1946 and 2008. In this way, I shall demonstrate how fear and distrust of ‘psy’ professionals pervades anglophone fiction. I shall show how the overwhelming number of negative portrayals greatly outweighs positive depictions. I suggest this can lead to a problematic response to the ‘psy’ professions from prospective and current patients and the general population. Broad internet searches of patients’ reactions will show that fear of seeing a psychiatrist is a common reaction. I shall consider the widespread concern, evidenced in scholarly journals, among ‘psy’ professionals about the negative perception of their role and work, noting that distrust and denigration of ‘psy’ practitioners is also apparent among medical colleagues and students, with a resulting problem of low recruitment to this specialty. I shall suggest that the roots of this suspicion lie in the pervasive cultural fear of madness, Anti-Semitism and the persistent notion that psychiatry and allied professions are pseudo-scientific, unlike other medical disciplines. Using historical examples, I shall demonstrate that the ‘psy’ professions are tainted by historical treatment failures and rogue professionals in ways that do not occur elsewhere in medicine. While ‘psy’ professionals are generally less transparent (for reasons including confidentiality) than other medical specialists, they face vociferous criticism from within their own ranks, especially on the internet. This thesis will promote an understanding of the injurious negative place ‘psy’ professionals hold in our culture

Causes, Evaluation, and Treatment of Instability of the Patellofemoral Joint of the Knee: A Review

Instability of the patellofemoral (PF) joint of the knee is typically caused by chronic atraumatic injuries and inciting traumatic events. Anatomically, bony and softtissue structures surrounding the PF joint and extensor mechanism contribute to overall stability of the area, which results in efficient kinematic function at the PF articulation. Furthermore, physiological, genetic, anatomical, and demographical factors may affect the development and progression of PF joint instability. Treatment techniques have varied owing to individual factors that may have influence on pathological features of the injury. Nonoperative treatment has predominantly focused on strengthening of the quadriceps and vastus medialis by coordinated, closed chain exercises; if unsuccessful, surgical treatment can be a viable option for chronic dislocation and instability of the PF joint. I reviewed anatomy of the patella and notable bony and soft-tissue constructs; radiographic evaluation and findings suspicious of PF joint instability; and common operative and nonoperative methods for treatment. Despite improved understanding of possible causes and outcomes of treating PF joint instability, further clinical studies are necessary to evaluate the long-term clinical impact of treatment. Introducti

High temperature fiber optic microphone having a pressure-sensing reflective membrane under tensile stress

A fiber optic microphone is provided for measuring fluctuating pressures. An optical fiber probe having at least one transmitting fiber for transmitting light to a pressure-sensing membrane and at least one receiving fiber for receiving light reflected from a stretched membrane is provided. The pressure-sensing membrane may be stretched for high frequency response. Further, a reflecting surface of the pressure-sensing membrane may have dimensions which substantially correspond to dimensions of a cross section of the optical fiber probe. Further, the fiber optic microphone can be made of materials for use in high temperature environments, for example greater than 1000 F. A fiber optic probe is also provided with a backplate for damping membrane motion. The backplate further provides a means for on-line calibration of the microphone

The radiation of cynodonts and the ground plan of mammalian morphological diversity

Cynodont therapsids diversified extensively after the Permo-Triassic mass extinction event, and gave rise to mammals in the Jurassic. We use an enlarged and revised dataset of discrete skeletal characters to build a new phylogeny for all main cynodont clades from the Late Permian to the Early Jurassic, and we analyse models of morphological diversification in the group. Basal taxa and epicynodonts are paraphyletic relative to eucynodonts, and the latter are divided into cynognathians and probainognathians, with tritylodonts and mammals forming sister groups. Disparity analyses reveal a heterogeneous distribution of cynodonts in a morphospace derived from cladistic characters. Pairwise morphological distances are weakly correlated with phylogenetic distances. Comparisons of disparity by groups and through time are non-significant, especially after the data are rarefied. A disparity peak occurs in the Early/Middle Triassic, after which period the mean disparity fluctuates little. Cynognathians were characterized by high evolutionary rates and high diversity early in their history, whereas probainognathian rates were low. Community structure may have been instrumental in imposing different rates on the two clades

A hybrid electronically scanned pressure module for cryogenic environments

Pressure is one of the most important parameters measured when testing models in wind tunnels. For models tested in the cryogenic environment of the National Transonic Facility at NASA Langley Research Center, the technique of utilizing commercially available multichannel pressure modules inside the models is difficult due to the small internal volume of the models and the requirement of keeping the pressure transducer modules within an acceptable temperature range well above the -173 degrees C tunnel temperature. A prototype multichannel pressure transducer module has been designed and fabricated with stable, repeatable sensors and materials optimized for reliable performance in the cryogenic environment. The module has 16 single crystal silicon piezoresistive pressure sensors electrostatically bonded to a metalized Pyrex substrate for sensing the wind tunnel model pressures. An integral temperature sensor mounted on each silicon micromachined pressure sensor senses real-time temperature fluctuations to within 0.1 degrees C to correct for thermally induced non-random sensor drift. The data presented here are from a prototype sensor module tested in the 0.3 M cryogenic tunnel and thermal equilibrium conditions in an environmental chamber which approximates the thermal environment (-173 degrees C to +60 degrees C) of the National Transonic Facility

Postoperative Deep Vein Thrombosis and Pulmonary Embolism after Ankle Fusion in a Patient with Hemophilia A: A Case Report

Deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) are uncommon postoperative complications of operative procedures for treating injuries of the foot and ankle. Because the disorder of hemophilia A prevents blood clotting and increases bleeding, patients with this condition have been even less likely to develop DVT and PE. We present a 36-year-old man with hemophilia A in whom operative ankle fusion for treating hemophilic arthropathy of the left ankle led to DVT and PE. After decreasing dosage of antihemophilic medication and administering enoxaparin, the symptoms improved and the patient was discharged from the hospital on postoperative day 5. At 3-month follow-up with continued dosage, no complications were reported. Surgeons should be aware of possible DVT and PE in patients with hemophilia A and consider multidisciplinary efforts to successfully treat the resultant symptoms

Too Big Too Fast? Potential Implications of the Rapid Increase in Emergency Medicine Residency Positions

Emergency medicine (EM) has expanded rapidly since its inception in 1979. Workforce projections from current data demonstrate a rapid rise in the number of accredited EM residency programs and trainee positions. Based on these trends, the specialty may soon reach a point of saturation, particularly in urban areas. This could negatively impact future trainees entering the job market as well as the career plans of medical students. More time and resources should be devoted to obtaining accurate projections, assessing the distribution of emergency physicians in rural versus urban settings, and implementing central workforce planning to protect the future of graduating trainees.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154425/1/aet210400.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154425/2/aet210400_am.pd

Measuring the nutritional cost of insect infestation of stored maize and cowpea

Our understanding and prevention of postharvest losses are critical if we are to feed a growing global population. Insect infestation-related losses of stored commodities are typically considered only in terms of quantitative, physical weight loss. Insect infestation affects the nutritional value and some nutritional components are impacted more severely than others. We infested maize and cowpea grain with commonly occurring stored product insect pests, and mapped infestation levels against nutritional composition over a 4-to-6 month storage period to analyse how insect infestation relates to different macro- and micro-nutrient contents. Insect infestation decreased the carbohydrate content of the stored grains, causing a relative increase in the proportion of protein and fibre in the remaining grain, and moisture content also increased. Sitophilus zeamais preferentially fed in the floury endosperm of maize, resulting in more carbohydrate loss relative to protein loss. Conversely, Prostephanus truncatus consumed the germ and endosperm, disproportionately reducing the fat, protein, iron and zinc grain contents. Nutrients are distributed more homogenously within cowpea than in maize grains, but Callosobruchus maculatus infestation increased the relative protein, fat, iron and zinc to carbohydrate ratios. This indicates how the nutrient content of insect-infested stored grain depends upon the grain type, the infesting insect, and the infestation level. Insect infestation therefore has consequences for human nutrition beyond those of grain weight loss. Using data collected on the changing nutritional composition of grain over time, with and without insect infestation, we modelled the associations between infestation and nutritional quality to predict estimated nutritional losses that could be associated with consumption of insect-infested stored maize and cowpea

The Effect of Music as a Motivational Tool on Isokinetic Concentric Performance in College Aged Students

International Journal of Exercise Science 7(1) : 54-61, 2014. Music has been identified as a motivational tool in physical activity and associated with improved performance in aerobic and anaerobic exercise. However, the effects of music on isokinetic strength testing have not been examined. The purpose of this study was to measure the difference in lower limb isokinetic force output in males and females when exposed to a motivational environment (arousing music) and non-motivational environment (silence). A 2 x 2 analysis of variance (group x gender) was used with participants (n = 19; 12 male, 7 female) serving as their own control. Participants performed 5 isokinetic concentric repetitions of knee extension and knee flexion at a set velocity of 60°/sec in both a non-music trial and music trial. Testing order was randomized to control for learning effect. No significant interactions were found for both the flexion and extension conditions (p \u3e .05); however, there was a main effect for gender on the extension variable (p \u3c .05). The authors concluded that music had no effect on lower limb force output in either males or females. The study may have been limited by a number of confounding effects, warranting a repeated yet enhanced research design of the study. Strength coaches, athletic trainers, and injury rehabilitation specialists (e.g., physical therapists) can use knowledge of this topic when working with clients and patients who are unmotivated to continue treatment. Music may not serve as an enhancer of patient or athlete performance in isokinetic testing or maximal isokinetic performance, but it may serve to increase enjoyment of otherwise monotonous activity

MSFC Skylab thermal and environmental control system mission evaluation

An evaluation of the performance of the Skylab thermal and environmental control system is presented. Actual performance is compared to design and functional requirements and anomalies and discrepancies and their resolution are discussed. The thermal and environmental control systems performed their intended role. Based on the experience gained in design, development and flight, recommendations are provided which may be beneficial to future system designs