To ID or Not to ID

“And now can I have the last four digits of your Social? Then we’ll both know each other.” A cloud of anger swept over me. I glanced up from my computer, blinked, and then elected to continue with my work. I gave the man his money and receipt and sent him on his merry way. He transformed into a veritable ray of sunshine for the other tellers, calling, “have a nice day!” as he left. [excerpt

ID

The five sculptors in ID challenge the conventions of representational self-portraiture. In their selective and often abstract use of figuration, these artists engage the identification of self as it is situated socially and institutionally—one’s “I.D.”—as well as the psychoanalytic dimensions of the “id.” The exhibition’s title introduces a kind of paradoxical conflict between public identification, found in various bureaucratic forms of I.D. (passports, drivers’ licenses, and Social Security numbers, for example), and the id, a Freudian classification for the most basic and unconscious physical drives (sex, food, aggression). All of these artists respond to the seeming incongruities of I.D. and id by exhibiting subtle awareness of the complicated construction of identity. Abandoning the tradition of simply mirroring one’s outward appearance, they not only reconsider what it means to represent oneself as an art object, but also question the literal and figurative boundaries of the human form in sculpture. [excerpt]https://cupola.gettysburg.edu/artcatalogs/1002/thumbnail.jp

Policing and mental illness in the era of deinstutionalisation and mass incarceration: A UK Perspective

The policy of deinstitutionalisation, a progressive policy aimed at reducing the civic and social isolation of the mentally ill, did not achieve its utopian aims. Wolff (2005)/Moon (2000) argue that the Asylum has been replaced by fragmented, dislocated world of bedsits, housing projects, day centres or increasingly prisons and the Criminal Justice system. This shift has been termed “transinstitutionalisation”. This incorporates the ideas that individuals live in a community but have little interaction with other citizens and major social interactions are with professionals paid to visit them. Other social outcomes such as physical health, which can be used as measures of citizenship or social inclusion, are also very poor. Kelly (2005) uses the term “structural violence” – originally from liberation theology to highlight the impact of a range of factors including health, mental health status and poverty that impact on this group. This paper will explore one aspect of this process – the impact on policing, particularly the assessment of mental health issues in the custody setting. The paper is based on research projects carried out with two police forces in the North West of England. Both the Police and Criminal Evidence Act ( PACE 2004) and the Mental Health Act (2007) provide police officers with powers in relation to the arrest and detention of individuals experiencing mental distress. In addition, this legislation provides greater protection to individuals experiencing mental distress if they are interviewed by the police in connection with an alleged offence. The research uses Chan (1996)’s application of bureaucratic field and habitus to policing to explore ways, in which, the impact of mass incarceration and deinstitutionalisation have led to the increased marginalisation of the mentally ill

An investigation of the accuracy of numerical solutions of Boltzmann's equations for electron swarms in gases with large inelastic cross sections

Copyright @ 1979 CSIROA Monte Carlo simulation technique has been used to test the accuracy of electron energy distribution functions and transport coefficients calculated using conventional numerical solutions of Boltzmann's equation based on a two-term approximation. The tests have been applied to a number of model gases, some of which have characteristics close to those of real gases, and include cases where the scattering is anisotropic. The results show that, in general, previous application of the numerical solution to real gases has been valid

Antibiotic Stewardship Implementation and Antibiotic Use at Hospitals With and Without On-site Infectious Disease Specialists.

BackgroundMany US hospitals lack infectious disease (ID) specialists, which may hinder antibiotic stewardship efforts. We sought to compare patient-level antibiotic exposure at Veterans Health Administration (VHA) hospitals with and without an on-site ID specialist, defined as an ID physician and/or ID pharmacist.MethodsThis retrospective VHA cohort included all acute-care patient admissions during 2016. A mandatory survey was used to identify hospitals' antibiotic stewardship processes and their access to an on-site ID specialist. Antibiotic use was quantified as days of therapy per days present and categorized based on National Healthcare Safety Network definitions. A negative binomial regression model with risk adjustment was used to determine the association between presence of an on-site ID specialist and antibiotic use at the level of patient admissions.ResultsEighteen of 122 (14.8%) hospitals lacked an on-site ID specialist; there were 525 451 (95.8%) admissions at ID hospitals and 23 007 (4.2%) at non-ID sites. In the adjusted analysis, presence of an ID specialist was associated with lower total inpatient antibacterial use (odds ratio, 0.92; 95% confidence interval, .85-.99). Presence of an ID specialist was also associated with lower use of broad-spectrum antibacterials (0.61; .54-.70) and higher narrow-spectrum β-lactam use (1.43; 1.22-1.67). Total antibacterial exposure (inpatient plus postdischarge) was lower among patients at ID versus non-ID sites (0.92; .86-.99).ConclusionsPatients at hospitals with an ID specialist received antibiotics in a way more consistent with stewardship principles. The presence of an ID specialist may be important to effective antibiotic stewardship

Group-Like algebras and Hadamard matrices

We give a description in terms of square matrices of the family of group-like algebras with $S*id=id*S=u\epsilon$. In the case that $S=id$ and $char\Bbbk$ is not 2 and does not divide the dimension of the algebra, this translation take us to Hadamard matrices and, particularly, to examples of biFrobenius algebras satisfying $S*id=id*S=u\epsilon$ and that are not Hopf algebras. Finally, we generalize some known results on separability and coseparability valid for finite dimensional Hopf algebras to this special class of biFrobenius algebras with $S*id=id*S=u\epsilon$, presenting a version of Maschke's theorem for this family

Measuring social desirability amongst men with intellectual disabilities: The psychometric properties of the Self- and Other-Deception Questionnaire—Intellectual Disabilities

Background Social desirability has been construed as either inaccurately attributing positive characteristics to oneself (self-deception), or inaccurately denying that one possesses undesirable characteristics to others (other-deception or impression management). These conceptualisations of social desirability have not been considered in relation to people with intellectual disabilities (IDs), but they are important constructs to consider when undertaking a psychological assessment of an individual, especially within forensic contexts. Therefore, we revised two existing measures of self- and other-deception and considered their psychometric properties. Methods Thirty-two men with mild IDs and 28 men without IDs completed the Self- and Other-Deception Questionnaires—Intellectual Disabilities (SDQ-ID and ODQ-ID) on two occasions, two weeks apart. Results Men with IDs scored significantly higher on the SDQ-ID and the ODQ-ID than men without IDs. However, these differences disappeared when Full Scale IQ, Verbal IQ and Performance IQ were controlled in relation to the SDQ-ID, and partially disappeared in relation to the ODQ-ID. The SDQ-ID and the ODQ-ID had substantial internal consistency in relation to men with IDs (k = 0.82 and 0.84 respectively). The test-retest reliability of the SDQ-ID was good (ri = 0.68), while the test-retest reliability of the ODQ-ID was moderate (ri = 0.56), for men with IDs. The SDQ-ID had moderate (k = 0.60) and the ODQ-ID had substantial (k = 0.70) internal consistency in relation to men without IDs, while the test-retest reliability of the SDQ-ID was excellent (ri = 0.87) as was the case for the ODQ-ID (ri = 0.85). Conclusions The SDQ-ID and the ODQ-ID have satisfactory psychometric properties in relation to men with and without IDs. Future research using these instruments is propose

Antibiotic stewardship implementation and patient-level antibiotic use at hospitals with and without on-site Infectious Disease specialists.

Many US hospitals lack Infectious Disease (ID) specialists, which may hinder antibiotic stewardship efforts. We sought to compare patient-level antibiotic exposure at Veterans Health Administration (VHA) hospitals with and without an on-site ID specialist, defined as an ID physician and/or ID pharmacist. This retrospective VHA cohort included all acute-care patient-admissions during 2016. A mandatory survey was used to identify hospitals' antibiotic stewardship processes and their access to an on-site ID specialist. Antibiotic use was quantified as days of therapy (DOT) per days-present and categorized based on National Healthcare Safety Network definitions. A negative binomial regression model with risk adjustment was used to determine the association between presence of an on-site ID specialist and antibiotic use at the level of patient-admissions. Eighteen of 122 (14.8%) hospitals lacked an on-site ID specialist; there were 525,451 (95.8%) admissions at ID hospitals and 23,007 (4.2%) at non-ID sites. In the adjusted analysis, presence of an ID specialist was associated with lower total inpatient antibacterial use [OR 0.92, (95% CI, 0.85-0.99)]. Presence of an ID specialist was also associated with lower use of broad-spectrum antibacterials [OR 0.61 (95% CI, 0.54-0.70)] and higher narrow-spectrum beta-lactam use [OR 1.43 (95% CI, 1.22-1.67)]. Total antibacterial exposure (inpatient plus post-discharge) was lower among patients at ID versus non-ID sites [OR 0.92 (95% CI, 0.86-0.99)]. Patients at hospitals with an ID specialist received antibiotics in a way more consistent with stewardship principles. The presence of an ID specialist may be important to effective antibiotic stewardship

World wide web and scientific publishing

The relationship of scientific publishing and the world wide web steadily evolves as the internet technology advances in its sophistication and ability to reach an increasing number of people. Many well established medical publication currently publish their journal electronically as well as in print format. Forced by high volume of manuscript submissions as well as financial restraints, some journals publish a number of their articles on the internet alone, while others-such as this journal-are starting an entirely new publication in an electronic version only. The presentation of articles in the field of pediatric cardiology electronically has numerous advantages, particularly the ability to include movie clips, sound and animations in the published articles. This format of publication continues to have limitation. It is still not as widely available as a print journal could be and it is awkward to curl up in bed with a lap top, no matter how small or light it ispeer-reviewe

Implementing a Fitness and Nutrition Program for Special Olympics Athletes

Introduction: Only 17-30% of individuals with ID meet the recommendations for daily exercise Populations of individuals with ID have higher BMI, lower cardiovascular fitness and lower muscle strength compared to the general population Individuals with ID also have many dietary challenges necessitating nutritional education and interventions One study following four athletes with ID, showed that pairing athletes with and without (unified sports) resulted in a positive change in social self-concept for athletes with ID Given the above, we: Created a 6-week pilot training and nutrition program for Special Olympics Vermont (SOVT). Paired athletes with ID with college athletes without ID to promote wellness during the athlete’s off season.https://scholarworks.uvm.edu/comphp_gallery/1229/thumbnail.jp