Fuzzy Logic in Health Care Settings: Moral Math for Value-Laden Choices

This essay is intended as an example of “moral math”, i.e., ideas culled from mathematics which can positively impact social behavior. Specifically, it combines fuzzy logic with the ethical decisions which hospital staff and others are sometimes forced to make about health care (e.g., euthanasia issues following Hurricane Katrina). The assumption is that such decisions involve value-laden choices which lend themselves to “fuzzy” or “smart” protocols. The article discusses the history of fuzzy logic – what it is, how it is used, and how it might be even better-used as a support basis for making difficult choices in the health care setting

A Workshop to Introduce Concepts of Moral Math

Moral Math refers to the study of ideas drawn from mathematics which can positively impact moral decision-making and social behavior. This essay describes a workshop designed to introduce these ideas to interested individuals of varying degrees of mathematical and theological sophistication. Created by a retired minister and former math professor, the workshop details five sets of interactive exercises culled from game theory, theoretical complexity, fuzzy logic, basic algebra, and simple arithmetic. Exercises are user-friendly, interactive, and easily related by analogy to various social issues

Simple Arithmetic: Heavy on Butter, Cream, Wine

The language of poetry is one way to offer perspective on ethical issues and social behavior. The language of mathematics is another. The piece herein combines both these ways

Mathaphor as a Literary Tool

Drawing from one of my recent sermons, I chart the path of mathaphor (metaphor drawn from mathematics) as a literary tool. Following a short history of the concept, I detail contemporary author Colum McCann’s significant use of a geometric term to unveil and encourage compassion

Spirit-Wise Math: Two Examples from a Collection of Mathaphors

This article consists of two examples of loosely spiritual insights drawn from mathematics, both of which are from a work-in-progress -- a collection of mathematical metaphors

School Counselors Treating Anxiety in Public School Settings: A Group Manual

As anxiety becomes more prevalent in children and adolescents, the demand for mental health resources has also increased. School counselors are highly trained mental health professionals who could be one of the answers to help close the gap of the demand for mental health resources. This review aims to analyze the benefits and effectiveness of school counselors treating anxiety in public school settings by utilizing small group interventions. Most public school settings have school counselors available for students, which is an opportunity for school counselors to provide mental health services. Several research studies have been conducted on this topic, showing benefits of school counselors treating anxiety. This review will analyze different therapies and strategies used to treat anxiety in public school settings such as cognitive behavioral therapy and small group interventions. It is important to note that depending on the school district in which the school counselor is employed, the administration may require tasks that interfere with the amount of time in the day to implement mental health treatments. Keywords: Anxiety, School Counselors, Cognitive Behavioral Therap

Methods for evaluating cervical range of motion in trauma settings

Immobilisation of the cervical spine is a common procedure following traumatic injury. This is often precautionary as the actual incidence of spinal injury is low. Nonetheless, stabilisation of the head and neck is an important part of pre-hospital care due to the catastrophic damage that may follow if further unrestricted movement occurs in the presence of an unstable spinal injury. Currently available collars are limited by the potential for inadequate immobilisation and complications caused by pressure on the patient's skin, restricted airway access and compression of the jugular vein. Alternative approaches to cervical spine immobilisation are being considered, and the investigation of these new methods requires a standardised approach to the evaluation of neck movement. This review summarises the research methods and scientific technology that have been used to assess and measure cervical range of motion, and which are likely to underpin future research in this field. A systematic search of international literature was conducted to evaluate the methodologies used to assess the extremes of movement that can be achieved in six domains. 34 papers were included in the review. These studies used a range of methodologies, but study quality was generally low. Laboratory investigations and biomechanical studies have gradually given way to methods that more accurately reflect the real-life situations in which cervical spine immobilisation occurs. Latterly, new approaches using virtual reality and simulation have been developed. Coupled with modern electromagnetic tracking technology this has considerable potential for effective application in future research. However, use of these technologies in real life settings can be problematic and more research is needed. © 2012 Voss et al.; licensee BioMed Central Ltd

The measurement of tissue interface pressures and changes in jugular venous parameters associated with cervical immobilisation devices: A systematic review

Cervical immobilisation is commonly applied following trauma, particularly blunt head injury, but current methods of immobilisation are associated with significant complications. Semi-rigid disposable cervical collars are known to cause pressure ulcers, and impede effective airway management. These collars may also exacerbate a head injury by increasing intracranial pressure as a result of external compression of the jugular veins. There is a clear imperative to find ways of effectively immobilising the cervical spine whilst minimising complications, and any assessment of existing or new devices should include a standardized approach to the measurement of tissue interface pressures and their effect on jugular venous drainage from the brain. This systematic review summarises the research methods and technologies that have been used to measure tissue interface pressure and assess the jugular vein in the context of cervical immobilisation devices. 27 papers were included and assessed for quality. Laboratory investigations and biomechanical studies have gradually given way to methods that more accurately reflect clinical care. There are numerous accounts of skin ulceration associated with cervical collars, but no standardised approach to measuring tissue interface pressure. It is therefore difficult to compare studies and devices, but a pressure of less than 30 mmHg appears desirable. Cervical collars have been shown to have a compressive effect on the jugular veins, but it is not yet certain that this is the cause of the increased intracranial pressure observed in association with cervical collar use. This is the first review of its type. It will help guide further research in this area of trauma care, and the development and testing of new cervical immobilisation devices. © 2013 Sparke et al.; licensee BioMed Central Ltd

Carer and clinician perceptions of the use of emergency medical services by people with dementia: A qualitative study

A growing number of older people are accessing emergency medical services (EMS), and many calls to EMS are made by, or on behalf of, people with dementia. Their needs are frequently complex, however EMS staff are often given minimal guidance on ensuring patient safety, accurate diagnosis, and timely transfer to the most appropriate care. This study aimed to qualitatively explore the EMS experiences of carers for people with dementia and assess the views of EMS staff on the management of dementia, using focus groups and interviews. Themes were focussed on the circumstances surrounding EMS calls to people with dementia. These can prove frustrating due to a lack of information sharing, limited alternatives to hospital attendance and the amount of time that it can take to meet the complex needs of a person with dementia