Personal Frustrations of a Full-Time Firefighting Career

In this phenomenological qualitative study, we explored the professional and personal frustrations of being a full-time male firefighter. Themes emerged through analyzing the transcripts of the 26 semi-structured interviews that we conducted. Questions specifically focused on the stress and experiences encountered while on the job and the potential effects that their job has on their personal life, including hobbies, health, and personality. Themes included perceived verbal and physical abuse by the community of the fire service and its services, firefighters’ increased awareness of the environment and how this affects their daily life and the negative/positive implications of the media portrayal of firefighters. We relate the findings of the present study to research on other service-providing professions. Implications of the study include increased awareness and respect for the struggles firefighters endure

The Experiences of Being a Full-Time Firefighter: A Qualitative Study

Firefighters are exposed to stress both physically and psychologically on a nearly daily basis, which can have a profound effect on their physical and emotional well-being. In the present qualitative study we explore the effects of being a full time firefighter on both personal and professional aspects of life. Full time firefighters from departments around the southwest Ohio region are being interviewed using a semi-structured format. Those interviews are recorded and transcribed for the purpose of analysis, as we look for common themes among these professionals. Our questions specifically focus on the experiences a firefighter has had while being on call, expectations and motivations when first beginning their career, stressors and coping within the job itself, and how their career choice has affected their familial relationships, health habits, hobbies, and personality. Emerging themes include issues regarding sleep, risk-taking behaviors and habits, and the motivation of helping others

Relationships and Client Protection Differences in the APA and ACA Ethical Codes

We present the results of a line-by-line comparison regarding relationship and client protection issues between the American Psychological Association (APA) and American Counseling Association (ACA) ethical codes. Out of 144 total differences in these ethical codes, 34 differences pertain specifically to the topics of relationships and client protection. Results from the study showed ACA to provide extensive requirements and prohibitions relating to the therapeutic relationship, compared to APA’s more general and principle-driven approach to this domain. Citing a few examples here, we note that ACA requires more extensive documentation of relationship boundary changes pertaining to romantic and/or sexual relationships, therapeutic role changes, and other redefinitions of relationships. Additionally, ACA and APA both limit the potential for multiple relationships, but ACA specifically prohibits counselors from terminating a therapeutic relationship in order to pursue a romantic relationship with someone closely related to their client. In sum regarding this domain, the ACA is more definitive, prescriptive, and limiting in what appears to be attempts at providing strengthened client protection. Similarly, the ACA is more detailed and narrow regarding client/counselor relationships and other therapeutic boundary establishments. The protections also are more fully extended to the counseling supervisor/supervisee relationship in the ACA code. In contrast, the APA is more general and/or silent in the domains which are spelled-out in detail by ACA. In the present study, we draw attention to the specific wording in the two documents and how these differences in words potentially impact clinical practice with both clients and supervisees. We also discuss how the results of the present study have implications for undergraduate students who are at the point of decision-making regarding which profession to select. Additionally, any psychologist who supervises counselors must ensure that all ethical standards—of both psychology and counseling—are upheld when counselors work under the licenses of a practicing psychologist. And finally, agencies who hire both licensed psychologist and licensed counselors must be aware of these significant differences in the APA and ACA ethical codes. We place the results of the present study into the larger context of the overall differences between the two codes

REstrictive versus StandarD FlUid Management in Mechanically Ventilated ChildrEn Admitted to PICU: study protocol for a pilot randomised controlled trial (REDUCE-1)

IntroductionIntravenous fluid therapy is the most common intervention in critically ill children. There is an increasing body of evidence questioning the safety of high-volume intravenous fluid administration in these patients. To date, the optimal fluid management strategy remains unclear. We aimed to test the feasibility of a pragmatic randomised controlled trial comparing a restrictive with a standard (liberal) fluid management strategy in critically ill children.Methods and analysisMulticentre, binational pilot, randomised, controlled, open-label, pragmatic trial. Patients <18 years admitted to paediatric intensive care unit and mechanically ventilated at the time of screening are eligible. Patients with tumour lysis syndrome, diabetic ketoacidosis or postorgan transplant are excluded. Interventions: 1:1 random assignment of 154 individual patients into two groups—restrictive versus standard, liberal, fluid strategy—stratified by primary diagnosis (cardiac/non-cardiac). The intervention consists of a restrictive fluid bundle, including lower maintenance fluid allowance, limiting fluid boluses, reducing volumes of drug delivery and initiating diuretics or peritoneal dialysis earlier. The intervention is applied for 48 hours postrandomisation or until discharge (whichever is earlier). Endpoints: The number of patients recruited per month and proportion of recruited to eligible patients are feasibility endpoints. New-onset acute kidney injury and the incidence of clinically relevant central venous thrombosis are safety endpoints. Fluid balance at 48 hours after randomisation is the efficacy endpoint. Survival free of paediatric intensive care censored at 28 days is the clinical endpoint.Ethics and disseminationEthics approval was gained from the Children’s Health Queensland Human Research Ethics Committee (HREC/21/QCHQ/77514, date: 1 September 2021), and University of Zurich (2021-02447, date: 17 March 2023). The trial is registered with the Australia New Zealand Clinical Trials Registry (ACTRN12621001311842). Open-access publication in high impact peer-reviewed journals will be sought. Modern information dissemination strategies will also be used including social media to disseminate the outcomes of the study.Trial registration numberACTRN12621001311842.Protocol version/dateV5/23 May 2023

Year in review in Intensive Care Medicine 2011: III. ARDS and ECMO, weaning, mechanical ventilation, noninvasive ventilation, pediatrics and miscellanea

SCOPUS: re.jinfo:eu-repo/semantics/publishe

Machine learning techniques for background discrimination at the ATLAS experiment

The use of artificial neural network in discrimination between signal and background is investigated for two different processes in the ATLAS detector. For the WH signal against the WZ/Wγ∗ background the neural network shows improvement over the boosted decision trees previously used in Aad et al. [1]. Also for the pair produced stop quark process with two leptons in the final state is archieved good discrimination between the signal and the background of fake/non-prompt leptons

Teaching Practicum at Doherty Memorial High School: Student Teaching Practicum Portfolio

In partial fulfillment of the requirements for Massachusetts Educator Licensure, a total of 105 hours of observation and 152 hours of practice teaching were performed over the course of 1 semester at Doherty Memorial High School, located in Worcester, MA. Information and statistics regarding Doherty Memorial High School, the Worcester Public School System, and the surrounding community demographics were compiled. A set of lesson plans and assessments were developed with the aim of fulfilling the requirements set by the Massachusetts Curriculum Frameworks as well as the Worcester Public School System Curriculum

Does Retrofitting Pay Off? An Analysis of German Multifamily Building Data

Several studies have investigated the relationship between the energy performance of buildings and housing prices. First, this paper identifies a price premium for energy efficiency within the German rental market. Then, the indexed price differences and associated marginal benefits are compared with the marginal costs of energy retrofits. An extensive database of Germany’s largest online platform for housing over a time span from 2016 to 2020 is used in a hedonic regression approach. In addition, to extract the marginal costs of energy consumption abatement, a dataset of 1048 rental units regarding green-retrofit measures is utilized. Although a significant green premium is identified in the rental market, the findings suggest that it is not high enough to compensate landlords for the money they have to spend to retrofit. The marginal costs exceed the marginal benefits by far. Furthermore, it is found that the German government’s recent plans to split the carbon tax between landlords and tenants do not change this because the price per metric ton of carbon is insufficiently high. Limitations with respect to the data basis and consequently to the interpretation of the results exist. Nevertheless, the findings can help both tenants and landlords in their decision-making, as well as policy makers in the implementation of decarbonization efforts