Bullying Among Older Adults: A Book Review

In the book Bullying Among Older Adults, Bonifas examines bullying among older adults in senior centers and residential care facilities. Bonifas clearly describes bullying behaviors and presents a practical guide for assessment of bullying and antibullying intervention

Cold vision : inspired by "The Snow Queen"

Exegesis. The exegesis argues that contemporary women writers continue to find inspiration in the fairy tale, drawing on its form, themes, characters, symbolism and motifs to tell new stories. In particular, the exegesis claims that writers turn to the fairy tale for three broad purposes, two of which are contradictory, thereby suggesting the elasticity of the fairy tale as a structure. Firstly, fairy tales are used normatively, as a means of providing a structure that preserves traditional values, roles and politics (supporting the status quo). Secondly, fairy tales are used subversively to provide a structure that challenges ideas and assumptions around traditional values, usually associated with gender (subverting the status quo). And, thirdly, fairy tales are used as a structural formula, framework or technical tool to enhance characterisation, mood, atmosphere and meaning. The exegesis examines the way three writers, A.S. Byatt, Mercedes Lackey and Francesca Block employ Hans Christian Andersen's ""The Snow Queen"" as a framework for their fiction. Finally, I subject my own novel, ""Cold Vision"", to the same analysis, aiming to articulate the ideas and knowledge that were symbolically or indirectly expressed in the story, decoding the novel and exposing its themes and symbolism to discussion. Novel. When Evon Carr was a child, she believed in the power of her dreams. When her mother dies from cancer, Evon believes her dreams are responsible and vows never to dream again. As an adult, Evon works as a compliance officer for the Department of Immigration and Citizenship where she has learnt to be completely rational. She performs her duties with inhuman objectivity, remaining untouched by the human tragedy that she witnesses. Life starts to change for Evon on the day that her team raids a brothel and she detains an African healer dubbed "Mr Lucky", a man who never speaks. Instead, he gives Evon beads from his hair. Each bead unlocks a memory that takes Evon on a journey back to her childhood. With the help of her immigration team leader, Daniel Bell, Evon's unsympathetic approach to the people she encounters begins to change. When a woman commits suicide while being deported, Evon is forced to reconsider her hard-line approach to immigration enforcement and to come to terms with her own past. She returns to Mr Lucky, takes the last bead from him, and accepts her own guilt for her mother's death. Finally, she is able to dream again.[pt.1]. Exegesis -- [pt. 2]. Cold vision (novel

Impact of a physician – critical care practitioner pre‐hospital service in Wales on trauma survival: a retrospective analysis of linked registry data

The Emergency Medical Retrieval and Transfer Service for Wales launched in 2015. This service delivers senior pre-hospital doctors and advanced critical care practitioners to the scene of time-critical life- and limb-threatening incidents to provide advanced decision-making and pre-hospital clinical care. The impact of the service on 30-day mortality was evaluated retrospectively using a data linkage system. The study included patients who sustained moderate-to-severe blunt traumatic injuries (injury severity score ≥ 9) between 27 April 2015 and 30 November 2018. The association between pre-hospital management by the Emergency Medical Retrieval and Transfer Service and 30-day mortality was assessed using multivariable logistic regression. In total, data from 4035 patients were analysed, of which 412 (10%) were treated by the Emergency Medical Retrieval and Transfer Service. A greater proportion of patients treated by the Emergency Medical Retrieval and Transfer Service had an injury severity score ≥ 16 and Glasgow coma scale ≤ 12 (288 (70%) vs. 1435 (40%) and 126 (31%) vs. 325 (9%), respectively). The unadjusted 30-day mortality rate was 11.7% for patients managed by the Emergency Medical Retrieval and Transfer Service compared with 9.6% for patients managed by standard pre-hospital care services. However, after adjustment for differences in case-mix, the 30-day mortality rate for patients treated by the Emergency Medical Retrieval and Transfer Service was 37% lower (adjusted odds ratio 0.63 (95%CI 0.41–0.97); p = 0.037). The introduction of an emergency medical retrieval service was associated with a reduction in 30-day mortality for patients with blunt traumatic injury

A comparison between word analysis and prompting in oral reading.

Thesis (Ed.M.)--Boston Universit

Comparative risk of cerebral venous sinus thrombosis (CVST) following COVID-19 vaccination or infection: A national cohort study using linked electronic health records

To inform the public and policy makers, we investigated and compared the risk of cerebral venous sinus thrombosis (CVST) after SARS-Cov-2 vaccination or infection using a national cohort of 2,643,699 individuals aged 17 y and above, alive, and resident in Wales on 1 January 2020 followed up through multiple linked data sources until 28 March 2021. Exposures were first dose of Oxford-ChAdOx1 or Pfizer-BioNTech vaccine or polymerase chain reaction (PCR)-confirmed SARS-Cov-2 infection. The outcome was an incident record of CVST. Hazard ratios (HR) were calculated using multivariable Cox regression, adjusted for confounders. HR from SARS-Cov-2 infection was compared with that for SARS-Cov-2 vaccination. We identified 910,556 (34.4%) records of first SARS-Cov-2 vaccination and 165,862 (6.3%) of SARS-Cov-2 infection. A total of 1,372 CVST events were recorded during the study period, of which 52 (3.8%) and 48 (3.5%) occurred within 28 d after vaccination and infection, respectively. We observed slight non-significant risk of CVST within 28 d of vaccination [aHR: 1.34, 95% CI: 0.95-1.90], which remained after stratifying by vaccine [BNT162b2, aHR: 1.18 (95% CI: 0.63-2.21); ChAdOx1, aHR: 1.40 (95% CI: 0.95-2.05)]. Three times the number of CVST events is observed within 28 d of a positive SARS-Cov-2 test [aHR: 3.02 (95% CI: 2.17-4.21)]. The risk of CVST following SARS-Cov-2 infection is 2.3 times that following SARS-Cov-2 vaccine. This is important information both for those designing COVID-19 vaccination programs and for individuals making their own informed decisions on the risk-benefit of vaccination. This record-linkage approach will be useful in monitoring the safety of future vaccine programs

A scoping review finds a growing trend in studies validating multimorbidity patterns and identifies five broad types of validation methods

Objectives: Multimorbidity, the presence of two or more long-term conditions, is a growing public health concern. Many studies use analytical methods to discover multimorbidity patterns from data. We aimed to review approaches used in published literature to validate these patterns.Study design and setting: We systematically searched PubMed and Web of Science for studies published between July 2017 and July 2023 that used analytical methods to discover multimorbidity patterns.Results: Out of 31,617 studies returned by the searches, 172 were included. Of these, 111 studies (64%) conducted validation, the number of studies with validation increased from 53.13% (17 out of 32 studies) to 71.25% (57 out of 80 studies) in 2017-2019 to 2022-2023, respectively. Five types of validation were identified: assessing the association of multimorbidity patterns with clinical outcomes (n = 79), stability across subsamples (n = 26), clinical plausibility (n = 22), stability across methods (n = 7) and exploring common determinants (n = 2). Some studies used multiple types of validation.Conclusion: The number of studies conducting a validation of multimorbidity patterns is clearly increasing. The most popular validation approach is assessing the association of multimorbidity patterns with clinical outcomes. Methodological guidance on the validation of multimorbidity patterns is needed