Secondary traumatic stress in the emergency department

Aim: To investigate the prevalence of secondary traumatic stress among Emergency nurses in the West of Scotland and explore their experiences of this. Background: Unexpected death, trauma and violence are regular occurrences that contribute to the stressful environment nurses working in the Emergency department experience. A potential consequence of repeated exposure to such stressors can be referred to as secondary traumatic stress. Design: Triangulation of methods of data collection, using two distinct phases: Phase 1 – quantitative Phase 2 – qualitative Methods: Quantitative data were collated via postal questionnaire, from a convenience sample of Emergency nurses. Qualitative data were subsequently collated from a focus group constituting of a random sample of these Emergency nurses. Descriptive statistics were computed and thematic analysis conducted. All data were collated during February 2013. Results/findings: 75% of the sampled Emergency nurses reported at least one secondary traumatic stress symptom in the last week. Participants said that acute occupational stressors such as resuscitation and death were the influencing factors towards this. Strategies such as formal debriefing and social support were cited as beneficial tools for the management of secondary traumatic stress; however, barriers such as time and experience were found to inhibit their common use. Conclusion: Secondary traumatic stress is a prevalent phenomenon among Emergency nurses in the West of Scotland and if not managed appropriately, could represent a significant barrier to the mental health of this group and their capacity to provide quality care

Strongly regular edge-transitive graphs

In this paper, we examine the structure of vertex- and edge-transitive strongly regular graphs, using normal quotient reduction. We show that the irreducible graphs in this family have quasiprimitive automorphism groups, and prove (using the Classification of Finite Simple Groups) that no graph in this family has a holomorphic simple automorphism group. We also find some constraints on the parameters of the graphs in this family that reduce to complete graphs.Comment: 23 page

Key Findings From HSC's 2010 Site Visits: Health Care Markets Weather Economic Downturn, Brace for Health Reform

Presents findings about hospital payment rate increases, hospital-physician alignment, and insurance premiums, funding for safety-net providers, and their implications from HSC's site visits to twelve nationally representative metropolitan communities

Characteristics and Risk Management Needs of Limited-Resource and Socially Disadvantaged Farmers

Small U.S. farms and those run by socially disadvantaged minority operators tend not to purchase insurance or to participate in insurance-type programs operated by USDA. This report traces the lack of use of such risk management measures to several characteristics of such farmers, who include females, blacks, American Indians, Asian/Pacific Islanders, and operators of Spanish origin. These farmers tend, more than the typical U.S. farm, to raise livestock rather than crops, and there are no government-sponsored insurance-type programs for livestock.risk management, crop insurance, limited-resource farmers, limited-opportunity farmers, small farms, socially disadvantaged farmers, Farm Management, Risk and Uncertainty,

Investment of migrant remittances : some evidence from anthropology

Thesis (M.C.P.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1984.MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH.Bibliography: leaves 36-38.by Joy Eliza Hecht.M.C.P

Phase transitions and bubble nucleations for a phi^6 model in curved spacetime

Condsidering a massive self-interacting phi ^6 scalar field coupled arbitrarily to a (2+1) dimensional Bianchi type-I spacetime, we evaluate the one-loop effective potential. It is found that phi ^6 potential can be regularized in (2+1) dimensional curved spacetime. A finite expression for the energy-momentum tensor is obtained for this model. Evaluating the finite temperature effective potential, the temperature dependence of phase transitions is studied. The crucial dependence of the phase transitions on the spacetime curvature and on the coupling to gravity are also verified. We also discuss the nucleation of bubbles in a phi ^6 model. It is found that there exists an exact solution for the damped motion of the bubble in the thin wall regime.Comment: 15 pages, 6 figure

Passing in American Culture

While passing is traditionally discussed in terms of race, this paper applies the concept to issues of gender, sexuality, and disability as well. Looking at cultural texts, as well as critical ones, this paper fleshes out issues of passing and what it means to be a minority in America, as well as how passing itself has been useful to different fields of study

Where I Belong

This project compiled research of my family history to present an honest and creative portrayal of my family’s journey, connecting the stories of my ancestors to the common struggle, movement, and growth of humanity. The Duckworth’s were farmers who came to West Virginia from Maryland in the 1830s. Five pieces follow the course of the Duckworths, who witnessed the growth of industrialism, the toils of migration, the extension of the B&O railroad, and the eruption of the American Civil War. The lives described in this thesis are the patriarchs of the Duckworth family, beginning with Henry Duckworth migrating to West Virginia due to the coal mining industry overtaking his home and continues with George Duckworth, the focus shifting to creating something tangible of his life for future generations. Place becomes central to the life of Ephraim Duckworth who not only worked the land but also fought in the Civil War. Progressing further in time, Hansford Duckworth moves off the farm and becomes more informed of the stories that are creating the United States and creating him as well. The final “creation” of Lowell Farrell Duckworth once again aims at truly experiencing his past life by examining tangible photos that he left behind. Through each of these essays, I was able to evoke the essence of my family and place them into the grand narrative of human existence. Ultimately, by combining lyricism and biography, I was able to see my own context in the history of my family and my family’s context in history