A Word about Trees

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Assessing Loneliness and Other Types of Emotional Distress among Practicing Physicians

Introduction. Loneliness has been linked to clinician burnout and other types of emotional distress. Research assessing the prevalence of loneliness among physicians is growing. Little is known, however, about how loneliness relates to other types of emotional distress among practicing physicians. The objectives of the study were to determine the prevalence of loneliness, and to explore the relationship between loneliness, burnout, depressive symptoms, and suicidal ideation among active member physicians of the Medical Society of Sedgwick County (MSSC). Methods. The study involved a convenience sample of 197 practicing physicians who were active members of the MSSC. The 3-item University of California, Los Angeles Loneliness Scale, the Abbreviated Maslach Burnout Inventory, and 2-item Primary Care Evaluation of Mental Disorders Patient Health Questionnaire were used to measure prevalence of loneliness, manifestations of burnout, and symptoms of depression, respectively. Results. Using an email survey, 442 practicing physicians received an invitation to participate; 197 (44%) completed the survey. The prevalence of loneliness was 43%. Loneliness prevalence was associated positively with age (p = 0.017) and more likely in those who reported manifestations of burnout (p < 0.01) or screened positive for depression (p < 0.01). Depression (OR = 2.24; 95% CI, 0.97-5.19) and emotional exhaustion (OR = 1.05; 95% CI, 0.39-2.84) were significantly associated with loneliness, including when adjusted for participants’ sex, age, and duty hours. Conclusion. Loneliness is prevalent among active member physicians of the Medical Society of Sedgwick County. Given that loneliness is associated with burnout and other emotional distress, there is an important need to understand its implications better

We believe in the systems that keep us alive

ABSTRACT We Believe In the Systems That Keep Us Alive is a body of work that uses parallels identified between writing and media critique of contemporary events. The parallels are labeled as four specific systems: nutritional, administrative, life-support, and nurturing. Through a combination of interactive and object based sculpture, each system is represented with visual metaphor and allegory to place the viewer in a direct and specialized paradox. Paradoxes audience members encounter are intended to illustrate to the audience what conflicts can arise by being included in a system where governing agency of any sort does not meet with individual desires

Rompslomp en Soutstories (Helter-Skelter and Salty Yarns) : Creating place for meaning in a forgotten bay

This dissertation examines the creation of public place that is rich in experience. The design project is located at the Small Fishing Harbour of Saldanha Bay. The research was based primarily on the following: Topics around place character and meaning were investigated and the use of poetry as a phenomenological method to illuminate the character of place was researched. The significance of recovered landscapes and peripheral sites was also investigated. The possibility of uncovering different spatial identities of site by investigating space at different scales was researched. New technologies that are suitable for application in the specific context such as fog catchers and Integrated Multi-trophic Aquaculture (IMTA) practices were also investigated. Through theoretical research the conclusion was reached that it is important to create place in such a way that it is rich in experience and has unique character. Places that are rich in experience have the potential to carry meaning in the minds of their users. Place needs both character and meaning for people to be able to identify with it and have a sense of belonging. Urban analysis showed that the Small Fishing Harbour is a peripheral site which is very important in terms of its physical location in the town of Saldanha Bay. It provides access to the water's edge to a segregated community. It was concluded that re (claiming) the Small Fishing Harbour as public place, through remediation of the site and an improved urban link to the town centre, is necessary for it to become a sustainable public place. It was illustrated that understanding existing context in terms of history and different spatial identities is important. Site specifics inform how existing experiences can be celebrated and/or reinforced in the design project

Flight of the Witches : El Vuelo de las Brujas

https://digitalcommons.library.umaine.edu/mmb-ps/2210/thumbnail.jp

Attitudes of a multi-disciplinary team regarding sexual education among students with Developmental Cognitive Disabilities (DCD)

This quantitative study examines the attitudes of multidisciplinary staff regarding sex education among students with developmental intellectual disabilities and compares the attitudes of teachers working in regular education and those working in special education, and attitudes of religious versus non-religious teachers. One hundred and twenty teachers from various schools in the State of Israel participated in the study. The vast majority were women (91.7%), and the rest were men (8.3%). The prevailing level of religiosity in the study was secular (47.5%), and religious (43.3%). Most teachers had no experience working with children with special needs (60%). The study participants completed a demographic survey. The questionnaire used to examine the research questions was The Sexual Attitude Scale (SAS) (Hudson, Murphy, & Nurius, 1983) – a 25-item summated category partition scale that was designed to measure the extent to which an individual adheres to a liberal or a conservative orientation concerning sexual expression. One question was removed from the original questionnaire (statement 18: heavy sexual petting should be discouraged) and 5 statements were added, focusing on attitudes toward sex education for students with developmental intellectual disabilities. The study findings show that the level of conservatism among special education teachers was lower than the level of conservatism among regular education teachers, i.e., special education teachers expressed more positive attitudes. The study find-ings show that the level of conservatism among religious teachers was higher than the level of conservatism among non-religious teachers, i.e., non-religious teachers expressed more positive attitudes. It was also found that there is a positive and significant relation between the seniority of teachers and their degree of conservatism: the more years of experience teachers had, the more negative were their attitudes regarding the sexual education of students with Developmental Cognitive Disabilities (DCD). In contrast, there was no significant connection between age and level of conservatism. The study also examined the relationship between the role of the teacher and his attitudes. The study reveals surprising findings that show that the highest degree of conservatism was found among teachers and counselors, then, among professional teachers, and finally, school therapists who demonstrated the lowest level of conservatism. This means that the most positive attitudes were among the paramedical caregivers and the more negative among the educators and counselors.These findings suggest that training is needed for teachers in regular education, and among religious teachers, who are more conservative concerning sex education for people with special needs. It was also found that there is a connection between the teacher's role and his attitudes, and that the teacher's discipline should be addressed in the training. Veteran teachers have shown more negative attitudes, which is why training, for both teaching students and young teachers, and especially to veteran teachers, has an impact on their attitudes towards sex education among people with special needs. This training, beyond the knowledge provided, will facilitate changes of social attitudes to another, more positive view, towards people with special needs