Tree of Life Synagogue Shooting in Pittsburgh: Preparedness, Prehospital Care, and Lessons Learned

On Saturday, October 27, 2018, a man with anti-Semitic motivations entered Tree of Life synagogue in the Squirrel Hill section of Pittsburgh, Pennsylvania; he had an AR-15 semi-automatic rifle and three handguns, opening fire upon worshippers. Eventually 11 civilians died at the scene and eight people sustained non-fatal injuries, including five police officers. Each person injured but alive at the scene received care at one of three local level-one trauma centers.  The injured had wounds often seen in war-settings, with the signature of high velocity weaponry.  We describe the scene response, specific elements of our hospital plans, the overall out-of-hospital preparedness in Pittsburgh, and the lessons learned

Development of a Community-Based Spiritual Life Review Program for Promoting Resilience of Elders Residing in Disaster-Prone Areas

Background: Nowadays disasters are a common occurrence in the world. The elderly are in a vulnerable condition in terms of disasters and need help to recover from the hardship caused if they are caught in such a disaster. Two significant contributors to elderly people having sufficient resilience to be able to deal with such disasters are spiritual support and social support. Purpose: To develop a program specifically for Muslim elderly in Indonesia for promoting resilience. Method: The processes of developing the program were conducted in 2011, and included a critical review of the literature, constructing the elements of the actual program, validating the contents of the program by three experts, revising the program according to the experts‟ suggestions, and finally pilot-tested the final version of the program on a group 12 elders in Banda Aceh, Indonesia. Result: The program protocol established in this program includes five stages: (1) reviewing individual spiritual life experiences using memorable photos; (2) appreciating feelings among group members (3) re-evaluating the participant‟s life by looking to the group‟s album, (4) reconstructing the participants‟ life, and (5) affirming the six spiritual dimensions of the Islamic religion by the religious leader

Dispersal and Repulsion of Entomopathogenic Nematodes to Prenol.

Chemosensory cues are crucial for entomopathogenic nematodes (EPNs)-a guild of insect-killing parasitic nematodes that are used as biological control agents against a variety of agricultural pests. Dispersal is an essential element of the EPN life cycle in which newly developed infective juveniles (IJs) emerge and migrate away from a resource-depleted insect cadaver in order to search for new hosts. Emergence and dispersal are complex processes that involve biotic and abiotic factors, however, the elements that result in EPN dispersal behaviors have not been well-studied. Prenol is a simple isoprenoid and a natural alcohol found in association with EPN-infected, resource-depleted insect cadavers, and this odorant has been speculated to play a role in dispersal behavior in EPNs. This hypothesis was tested by evaluating the behavioral responses of five different species of EPNs to prenol both as a distal-chemotactic cue and as a dispersal cue. The results indicate that prenol acted as a repulsive agent for all five species tested, while only two species responded to prenol as a dispersal cue

Exploring Identities in Online Music Fandoms: How identities Formed in Online Fan Communities Affect Real Life Identities

This thesis set out to explore the identities formed by members of online fandom communities, and to determine the ways in which those identities affect their real life, offline identities. This qualitative study encountered elements related to stereo types of young women who are fans of mainstream pop music, and provided insight on their experiences through interviews with five long time boy band online fandom members. This study asked if fans prefer to keep their fandom identities internal or let them reflect outward, how one\u27s online identity affects or translates to their real life identity, and what experiences in the online fandom were the most impactful to the individual\u27s real life identity or led to new knowledge. It was revealed that online community platform is the place where fans gather to enjoy a similar passion, but it is the relationships and discussions held on the site between fans that truly affect an individual and their identity, rather than the more superficial elements of being in a fandom. Through fandom discourse, members found social support and solidarity with one another

Ensembles of probability estimation trees for customer churn prediction

Customer churn prediction is one of the most, important elements tents of a company's Customer Relationship Management, (CRM) strategy In tins study, two strategies are investigated to increase the lift. performance of ensemble classification models, i.e (1) using probability estimation trees (PETs) instead of standard decision trees as base classifiers; and (n) implementing alternative fusion rules based on lift weights lot the combination of ensemble member's outputs Experiments ale conducted lot font popular ensemble strategics on five real-life chin n data sets In general, the results demonstrate how lift performance can be substantially improved by using alternative base classifiers and fusion tides However: the effect vanes lot the (Idol cut ensemble strategies lit particular, the results indicate an increase of lift performance of (1) Bagging by implementing C4 4 base classifiets. (n) the Random Subspace Method (RSM) by using lift-weighted fusion rules, and (in) AdaBoost, by implementing both

Dying in the hospital setting: A systematic review of quantitative studies identifying the elements of end-of-life care that patients and their families rank as being most important

© The Author(s) 2015. Background: The majority of expected deaths occur in hospitals where optimal end-of-life care is not yet fully realised, as evidenced by recent reviews outlining experience of care. Better understanding what patients and their families consider to be the most important elements of inpatient end-of-life care is crucial to addressing this gap. Aim and design: This systematic review aimed to ascertain the five most important elements of inpatient end-of-life care as identified by patients with palliative care needs and their families. Data sources: Nine electronic databases from 1990 to 2014 were searched along with key internet search engines and handsearching of included article reference lists. Quality of included studies was appraised by two researchers. Results: Of 1859 articles, 8 met the inclusion criteria generating data from 1141 patients and 3117 families. Synthesis of the top five elements identified four common end-of-life care domains considered important to both patients and their families, namely, (1) effective communication and shared decision making, (2) expert care, (3) respectful and compassionate care and (4) trust and confidence in clinicians. The final domains differed with financial affairs being important to families, while an adequate environment for care and minimising burden both being important to patients. Conclusion: This review adds to what has been known for over two decades in relation to patient and family priorities for end-of-life care within the hospital setting. The challenge for health care services is to act on this evidence, reconfigure care systems accordingly and ensure universal access to optimal end-of-life care within hospitals

Misfits in Skyrme-Hartree-Fock

We address very briefly five critical points in the context of the Skyrme-Hartree-Fock (SHF) scheme: 1) the impossibility to consider it as an interaction, 2) a possible inconsistency of correlation corrections as, e.g., the center-of-mass correction, 3) problems to describe the giant dipole resonance (GDR) simultaneously in light and heavy nuclei, 4) deficiencies in the extrapolation of binding energies to super-heavy elements (SHE), and 5) a yet inappropriate trend in fission life-times when going to the heaviest SHE. While the first two points have more a formal bias, the other three points have practical implications and wait for solution.Comment: 9 pages, 4 figure

Hyman Minsky's Theory of Capitalist Development

During the last decade of his life, Hyman Minsky drew on insights acquired from Joseph Schumpeter in an effort to explore the long-term development of capitalism. He believed such an exploration would underscore the economic implications of postwar financial-system innovations and could encourage a broad discussion regarding the appropriate structure of the U.S. economy. This paper focuses on the theory of capitalist development that Minsky produced during that decade. After describing the purposes of Minsky's exploration, his theory is outlined both in terms of its essential elements and as it applies to the U.S. economy. In addition to emphasizing the relations between finance and business, Minsky identified a transition through at least five distinct stages of capitalism: from the merchant-capitalist era to a recent period dominated by money managers. A concluding section identifies a number of research directions suggested by Minsky's analysis.

Applying Positive Psychology Principles to Soccer Interventions for People with Mental Health Difficulties

Adjunct exercise interventions for people with mental health difficulties have been shown to improve well-being while also increasing physical and social health. Soccer as a team sport is a particularly apt form of group-based exercise as it fosters social inclusion and communication skills potentially also across cultural and socio-economic barriers. We discuss how some exercise interventions such as those using soccer are potentially well-aligned with concepts from Positive Psychology such as Seligman’s five elements (PERMA) that determine “Eudaimonia” (a good life): Positive emotions (P), Engagement and Flow (E), Positive Relationships (R), Meaning (M), and Accomplishment (A). In the present study the perceived life improvements reported by participants of a London-based soccer intervention “Coping Through Football” (CTF) are analysed for content using these five elements. All but Meaning (M) could be identified clearly; Positive Relationship (R) and Accomplishment (A) were the most commonly reported components. The PERMA model offers a potentially highly relevant framework to measure changes in well-being in participants of adjunct physical exercise treatments in mental health. Further quantitative and qualitative evaluation using the PERMA categories has the clear potential to inform policy and funding decisions in the growing area of psychosocial interventions in public mental health