A Phenomenology of Working With Youth Sex-Trafficked Survivors in Florida

The purpose of this qualitative phenomenological study was to describe the experiences of health care professionals (HCPs) and other service providers (SPs) who work or worked with children and adolescent survivors of domestic minor sex trafficking (DMST) and the commercial sexual exploitation of children (CSEC) in Florida. The Conceptual Model for Factors Affecting Well-Being and Resilience devised by the National Academy of Medicine (NAM) and the Five Ways to Well-Being Model developed by Catherine Gilliver were used to guide this study. These models helped the researcher gain a better understanding of how participants experienced working with survivors and victims of DMST and its effect on them. Data collection was conducted through the use of an initial demographic questionnaire as well as the completion of both the Depression Anxiety Stress Scale (DASS-21) and a PTSD Symptom Checklist (PSS-I-5). Responses from these instruments helped include and exclude participants during the screening process of the study. Upon acceptance, face-to-face interviews were conducted online via Zoom and were recorded then transcribed. For data analysis, open coding was used to categorize responses into themes, and the researcher used notetaking and color coding to protect the anonymity of participants and to highlight common themes found in participants’ responses. Initial impressions were noted using memoing in addition to inductive analysis to make judgements

Conceptualising and Measuring Mental Fitness: A Delphi Study

Despite the increased use of the term mental fitness in the popular and psychological literature, there is little consensus in relation to theory, definition and measurement. The concept of mental fitness could be used to parsimoniously engage, educate and promote proactive, positive mental health activities to the wider community, without stigma and within a language that is easily understood.  This Delphi study engaged an international expert panel (n = 25) to evaluate a definition and four guiding principles of mental fitness. Expert consensus was achieved supporting the definition and four guiding principles with suggested modifications.The final definition of mental fitness is “the modifiable capacity to utilise resources and skills to flexibly adapt to challenges or advantages, enabling thriving”. The final four guiding principles are (1) fitness is a positive term without connotations of illness implied by mental health or mental illness; (b) mental fitness could be understood by the wider community in a similar way to physical fitness; (c) mental fitness is measurable; and (d) mental fitness can be improved, in a similar way to physical fitness.  The panel also offered valuable recommendations for future research and practice.

Classification and Grip of Occluded Objects

The present paper exposes a system for detection, classification, and grip of occluded objects by machine vision, artificial intelligence, and an anthropomorphic robot, to generate a solution for the subjection of elements that present occlusions. The deep learning algorithm used is based on Convolutional Neural Networks (CNN), specifically Fast R-CNN (Fast Region-Based CNN) and DAG-CNN (Directed Acyclic Graph CNN) for pattern recognition, the three-dimensional information of the environment was collected through Kinect V1, and tests simulations by the tool VRML. A sequence of detection, classification, and grip was programmed to determine which elements present occlusions and which type of tool generates the occlusion. According to the user's requirements, the desired elements are delivered (occluded or not), and the unwanted elements are removed. It was possible to develop a program with 88.89% accuracy in gripping and delivering occluded objects using networks Fast R-CNN and DAG-CNN with achieving of 70.9% and 96.2% accuracy respectively, detecting elements without occlusions for the first net and classifying the objects into five tools (Scalpel, Scissor, Screwdriver, Spanner, and Pliers), with the second net. The grip of occluded objects requires accurate detection of the element located at the top of the pile of objects to remove it without affecting the rest of the environment. Additionally, the detection process requires that a part of the occluded tool be visible to determine the existence of occlusions in the stac

Algorithm of detection, classification and gripping of occluded objects by CNN techniques and Haar classifiers

The following paper presents the development of an algorithm, in charge of detecting, classifying and grabbing occluded objects, using artificial intelligence techniques, machine vision for the recognition of the environment, an anthropomorphic manipulator for the manipulation of the elements. 5 types of tools were used for their detection and classification, where the user selects one of them, so that the program searches for it in the work environment and delivers it in a specific area, overcoming difficulties such as occlusions of up to 70%. These tools were classified using two CNN (convolutional neural network) type networks, a fast R-CNN (fast region-based CNN) for the detection and classification of occlusions, and a DAG-CNN (directed acyclic graph-CNN) for the classification tools. Furthermore, a Haar classifier was trained in order to compare its ability to recognize occlusions with respect to the fast R-CNN. Fast R-CNN and DAG-CNN achieved 70.9% and 96.2% accuracy, respectively, Haar classifiers with about 50% accuracy, and an accuracy of grip and delivery of occluded objects of 90% in the application, was achieved

UCANP: Urinary Catheter Alleviation Navigation Protocol Quality Improvement Project

Introduction: Catheter associated urinary tract infections (CAUTI) can place significant financial burden on healthcare facilities, decrease quality of care and increase length of stay. Reducing indwelling urinary catheter days reduces the risk of a CAUTI. Current practice after catheter removal includes the reinsertion of the catheter if the patient demonstrates three episodes of urinary retention that requires intermittent urinary catheterization. Intermittent urinary catheterization, when implemented appropriately, has proven to be safe and decreases risk for urinary infection. Background: Several initiatives have been introduced to decrease hospital CAUTI rates, including nursing education on appropriate urine culture collection, use of root cause analysis (RCA) tools to identify problem areas, and nurse driven removal protocols when catheters are no longer indicated. Despite some decreased catheter utilization rates, CAUTIs continued to occur. Data obtained through RCAs revealed a trend of catheter re-insertions due to urinary retention. A nurse driven pathway was developed using bladder scan and straight catheterization protocols with emphasis on not re-inserting catheters. Study Aim: By utilizing an algorithm for monitoring patients after catheter References removal, which includes routine bladder scan assessment and intermittent urinary catheterization if applicable, this study aimed to reduce the incidence of reinsertion of an indwelling catheter. Decreased re-insertion rates contribute to decreased urinary catheter utilization days and decreased risk for CAUTIs. Results: Metrics utilized to determine improvement included indwelling catheter utilization days and CAUTI count. Catheter days is defined as the number of days an indwelling catheter is in place. Each unit was compared to the previous year for the months of September, October, and November. The combined decrease of catheter days for all units was 17%, 23%, and 34% for September, October, and November, respectively. Discussion: Reducing the use of urinary catheters can reduce rates of catheter-associated urinary tract infections and their associated morbidities. Development of one standard protocol, in collaboration with urology provider input, and applying it across a variety of patient populations led to increased utilization of the protocol by the nursing staff. Improvement was also seen in nurses’ awareness and understanding of urinary retention post catheter removal and using bladder scanning and intermittent catheterization appropriately when needed. Due to the initial success of this project, the UCANP initiative is currently being implemented on additional units and will continue until all patient-care areas of the hospital are included.https://scholarlycommons.henryford.com/nursresconf2021/1006/thumbnail.jp

Revenue sharing : minorities and the poor.

Thesis. 1975. M.C.P.--Massachusetts Institute of Technology. Dept. of Urban Studies and Planning.Bibliography: leaves 196-200.M.C.P