Study in job satisfaction and role definition among equipment and supply aides at St. Luke\u27s Hospital

Lack of role definition and job satisfaction can lead to a reduction in productivity. A position which is relatively unique in an organization but is relatively low in status would appear to be particularly vulnerable to these problems. It may be possible in this situation to clarify role definition and increase job satisfaction through standardization of procedures, ongoing training and inservice, and exposure to the functioning of other departments with which this position interfaces. The purpose of this project, therefore, was to determine if Equipment and Supply Aides assigned to the Intensive Care Units of a large hospital would have a better defined picture of their role in the organization, obtain greater job satisfaction and increase productivity through a group meeting once a month, establishment of a procedure manual to be used in all ICU\u27s and informal tours of other departments within the hospital

Exploring Spaceflight-Associated Changes in Lung Macrophage Profiles

Immune dysregulation is a recognized phenomenon during spaceflight, including impaired macrophage differentiation and function. Activated macrophages exist in polarized phenotypes, such as M1 macrophages, which produce primarily pro-inflammatory mediators and M2 macrophages that are involved in anti-inflammatory processes and tissue repair. Effective macrophage polarization processes are vital for generating appropriate immune responses and facilitating recovery on Earth and in spaceflight. To gain deeper insight into macrophage polarization processes in spaceflight, we analyzed open-sourced, GeneLab lung tissue transcriptional datasets (OSD-248) from mice previously flown on the Rodent Research (RR)-6 mission. Mice were euthanized on-board the ISS after a 60-day mission. Preliminary analysis revealed an overall decrease in both M1/M2 biosignatures in spaceflight compared to ground controls. Interestingly, select M2 biosignatures were significantly reduced compared to M1, suggesting deficits in tolerogenic/anti-inflammatory activity and a shift towards pro-inflammatory states. In a ground-based study simulating spaceflight conditions, male and female C57BL/6J mice were exposed to simulated galactic cosmic ray radiation combined with hindlimb unloading and social isolation. To assess M1/M2 predominance in the lung and to test the fidelity of a single cell isolation protocol, total macrophages were isolated from frozen-stored lung tissue two weeks post-irradiation exposure. Cells were positively selected for using the F4/80 biomarker, and lung resident and infiltrating macrophage subtypes (M1 and M2) were characterized by flow cytometry, including F4/80, CD170, Arginase-1 (M2), and iNOS (M1). Future studies using tissues from space-flown RR-20 mice will further validate the definition of M1/M2 macrophages in the lung. In summary, characterizing polarized macrophage populations within the lung microenvironment is crucial for advancing our understanding of immune responses in spaceflight, particularly for lunar missions, where astronaut pulmonary physiology will be challenged by unique lunar environmental soil

Nurses Alumni Association Bulletin, Fall 2010

2010 - 2011 Meeting Date Calendar 2011 Annual Luncheon & Meeting Notice Officers, Committee Chairs, Satellite and Volunteers Bulletin Publication Committee The President\u27s Message Treasurer\u27s Report Resume of Minutes Office News Committee Reports Social Relief Trust Fund Satellite - Harrisburg Satellite Area Scholarship Nominating Bulletin Development Annual Giving Janet C. Hindson Award Janet C. Hindson Award Criteria Janet C. Hindson Award Recipient and Nominees Janet C. Hindson Lifetime Achievement Award Assisting in the HIV I Aids Epidemic in Lesotho, Africa News About and From our Graduates Memories Era Ending Happy Birthday To Be 80 or More 50th Anniversary Class Lists for 1960 Luncheon Attendees 1961 - Anniversary Class List for 2011 Annual Luncheon Center page Why Not? It\u27s Our Money! In Memoriam, Names of Deceased Graduates Class News Additional Information, Pins, Transcript & Address Info Scholarship Fund Application Certification Reimbursement Application Relief Fund Application List of Hotels Campus Map Constitution & By-Laws Revision

Nexus of Despair: A Network Analysis of Suicidal Ideation among Veterans

The objective of this study was to estimate a network model of risk and resilience factors of suicidal ideation among veterans. Two network models of suicidal ideation among Operation Iraqi Freedom/ Operation Enduring Freedom/Operation New Dawn veterans (N = 276) incorporated key disorders, traumatic stress, and resilience constructs to contextualize suicidal ideation. Childhood trauma was positively connected with suicidal ideation and harassment and inversely connected with social support and distress tolerance. This exemplifies long-lasting associations between childhood trauma and revictimization, emotion regulation, and ability to form supportive social relationships. A subsequent model including lower-order facets indicated that combat trauma was predominantly associated with posttraumatic stress disorder–intrusion symptoms. This study highlights the importance of addressing both risk and resilience to reduce suicide risk among veterans and increases understanding of factors that contribute to suicidal ideation

ExCEEd teaching workshop: Tenth year anniversary

In response to the need for faculty training, the American Society of Civil Engineers developed and funded the ExCEEd (Excellence in Civil Engineering Education) Teaching Workshop that is today – the summer of 2008 – celebrating its tenth year of existence. For the past decade, nineteen ExCEEd Teaching Workshops (ETW) have been held at the United States Military Academy, the University of Arkansas, and Northern Arizona University, with two more workshops scheduled for this summer for a total of 21 offerings. ETW has realized 449 graduates from 203 different U.S. and international colleges and universities. This paper summarizes the content of ETW, assesses its effectiveness, highlights changes in the program as a result of the assessment, and outlines future directions. The assessment data were obtained from multiple survey instruments conducted during each workshop, surveys taken six months to a year after the workshop, and a ten year longitudinal survey

Mapping Valley Bottom Confinement at the Network Scale

In this article, we demonstrate the application of a continuous confinement metric across entire river networks. Confinement is a useful metric for characterizing and discriminating valley setting. At the reach scale, valley bottom confinement is measured and quantified as the ratio of the length of channel confined on either bank by a confining margin divided by the reach length. The valley bottom is occupied by the contemporary floodplain and/or its channel(s); confining margins can be any landform or feature that makes up the valley bottom margin, such as bedrock hillslopes, terraces, fans, or anthropogenic features such as stopbanks or constructed levees. To test the reliability of calculating confinement across entire networks, we applied our geoprocessing scripts across four physiographically distinct watersheds of the Pacific Northwest, USA using freely available national datasets. Comparison of manually digitized and mapped with modeled calculations of confinement revealed that roughly one‐third of reaches were equivalent and about two‐thirds of the sites differ by less than ±15%. A sensitivity analysis found that a 500 m reach segmentation length produced reasonable agreement with manual, categorical, expert‐derived analysis of confinement. Confinement accuracy can be improved (c. 4% to 17% gains) using a more accurately mapped valley bottom and channel position (i.e. with higher‐resolution model inputs). This is particularly important when differentiating rivers in the partly confined valley setting. However, at the watershed scale, patterns derived from mapping confinement are not fundamentally different, making this a reasonably accurate and rapid technique for analysis and measurement of confinement across broad spatial extents

PTSD Symptoms and Alcohol-Related Problems among Veterans: Temporal Associations and Vulnerability

Posttraumatic stress disorder (PTSD) is associated with elevated risk of both alcohol use disorder (AUD) and related conduct problems, which are associated with behavioral and emotional dysregulation. We conducted an intensive longitudinal burst design study with 10 weeks of experience sampling over the course of 1.5 years with 250 veterans of recent conflicts. We tested time-series models of daily associations between posttraumatic stress symptoms (PTSS), alcohol dependence syndrome, and conduct problems. Exacerbations of PTSS predicted higher dependence syndrome and conduct problems the next day. This effect was significant after controlling for both concurrent (i.e., same-day) associations between drinking and the outcomes as well as the strength of associations between the outcomes from one day to the next (i.e., autoregression). Affect lability and disinhibition were hypothesized vulnerability factors increasing the strength of within-person predictors of dependence syndrome and conduct problems. Lability and disinhibition were associated with greater dependence syndrome symptoms and conduct problems over the follow-up period. Consistent with expectation, lability rather than disinhibition increased the association between drinking and dependence syndrome as well as the strength of association between dependence syndrome symptoms from one day to the next. Moderating effects of disinhibition in the conduct problems model were not significant. Importantly, results indicated reciprocal associations over time. Lability potentiated the association between dependence syndrome symptoms and next-day PTSS, whereas disinhibition potentiated the association between conduct problems and next-day PTSS. Results demonstrate complex dynamic associations between PTSS, AUD symptoms, and conduct problems over time indicative of broad regulatory impairments

Female Genital Mutilation. Information for Health-Care Professionals Working in Ireland.

AkiDwA, the African and Migrant Women’s Network in Ireland, developed this resource as part of a project funded by the Office of the Minister for Integration, examining the health-care needs of women who have undergone female genital mutilation (FGM) in their countries of origin and who now reside in Ireland. As the project developed in 2008, it became apparent that there were few resources for health-care professionals working in Ireland encountering these women, who may have very specific and urgent health-care needs. As a result of successful collaboration between the Royal College of Surgeons in Ireland’s MSc Women\u27s Health course director and students, and the coordinator of the Migrant Women\u27s Health Services Project in AkiDwA, key information on FGM and related health-care needs was researched and developed. Irish FGM-prevalence statistics were collated during 2008 and are also contained in this resource. It is envisaged that this resource will be useful to a range of health-care professionals in a broad spectrum of possible settings. The removable image sheet is designed to be used with a patient or client to illustrate FGM typologies and FGM prevalence across Africa. This resource would not have been completed without the active participation and assistance of the AkiDwA FGM Health Forum members (listed below), the board and staff of AkiDwA, the significant contribution from the RCSI, and the courageous women who have endured FGM and are seeking supports and services in Ireland

Proceedings of the 2015 WA Chapter of MSA Symposium on Music Performance and Analysis

This publication, entitled Proceedings of the 2015 WA Chapter MSA Symposium on Music Performance and Analysis, is a double-blind peer-reviewed conference proceedings published by the Western Australian Chapter of the Musicological Society of Australia, in conjunction with the Western Australian Academy of Performing Arts, Edith Cowan University, edited by Jonathan Paget, Victoria Rogers, and Nicholas Bannan. The original symposium was held at the University of Western Australia, School of Music, on 12 December 2015. With the advent of performer-scholars within Australian Universities, the intersections between analytical knowledge and performance are constantly being re-evaluated and reinvented. This collection of papers presents several strands of analytical discourse, including: (1) the analysis of music recordings, particularly in terms of historical performance practices; (2) reinventions of the \u27page-to-stage\u27 paradigm, employing new analytical methods; (3) analytical knowledge applied to pedagogy, particularly concerning improvisation; and (4) so-called \u27practice-led\u27 research.https://ro.ecu.edu.au/ecubooks/1005/thumbnail.jp

Evidence of Natural Bluetongue Virus Infection among African Carnivores

Bluetongue is an International Office of Epizootics List A disease described as the century\u27s most economically devastating affliction of sheep. Bluetongue (BLU) viruses were thought to infect only ruminants, shrews, and some rodents, but recently, inadvertent administration of BLU virus-contaminated vaccine resulted in mortality and abortion among domestic dogs. We present evidence of natural BLU virus infection among African carnivores that dramatically widens the spectrum of susceptible hosts. We hypothesize that such infection occurred after ingestion of meat and organs from BLU virus infected prey species. The effect of BLU virus on endangered carnivores such as the cheetah and African wild dog requires urgent investigation. Also, the role of carnivores in the epizootiology of this disease needs elucidation