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Apocalyptic Rhetoric and Subversive Framing in “The Uninhabitable Earth” (Poster)
By applying theories of rhetorical criticism to the arguments in the viral, and controversial, New York Magazine cover piece “The Uninhabitable Earth” by David Wallace-Wells, this study evaluated the dominant frames, appeals and persuasive narratives utilized in the article. In vivid brush strokes, “The Uninhabitable Earth” painted eight scenes of apocalyptic horror that climate change will bring to our civilization, from toxic smog that will smother cities, to deadly heat waves that could kill thousands near the equator, and even total societal collapse because of the economic cost of climate change. The article became an overnight and controversial success, and shortly after publishing, New York Magazine reported the piece had become the most read article in the history of the publication. Capturing the public’s attention with messages of climate change is immediately important in the face of the threat of global warming. As science communicators and climate scientists struggle to effectively communicate the risks of climate change to the general public, a cross-disciplinary understanding of exemplary communication events is essential to furthering the field of climate change communication. The analysis drew conclusions to the research question: is “The Uninhabitable Earth” a persuasive apocalyptic climate change narrative? The rhetorical evaluation of this prominent article added another dimension of understanding of climate rhetoric in the emerging field of science communication. The apocalyptic narrative, metaphor and appeals of the article were effective, and have been used in similar climate change communication to the same end
Many People Are Afraid of White Coats. They Should Be
The concept of “do no harm” is not a figure of speech. It is a pledge to our patients to insert ourselves between them and anything that can harm them physically or emotionally. “Do lab coats harbor microbes that are detrimental to our clients’ health?” was the question that drove this systematic review. Using a search to cover articles regarding the microbial integrity of the coat, several studies were found to include culture and sensitivity reports along with participants’ surveys that increase the data to include demographics, handling habits of the coat along with laundering habits of the owners of the coats. Eight studies were reviewed, seven of the eight did provide survey information, to extract data and conclusions for the summarization of the integrity of the coat. The microbial compromise of the garment was confirmed, and solutions were uncovered as the eight studies were examined. All studies referred to the garment as a source or a potential source of cross contamination. Using education guided by a multidisciplinary team, nurse practitioners can lead an effective approach to aid in the safe handling of the white coat. Standards for the handling of the coat along with monitoring of the compliance of healthcare workers can lead to a safer environment and better patient outcomes
Linking Models of Human Behavior and Climate Alters Projected Climate Change
Although not considered in climate models, perceived risk stemming from extreme climate events may induce behavioral changes that alter greenhouse gas emissions. Here, we link the CROADS climate model to a social model of behavioral change to examine how interactions between perceived risk and emissions behavior influence projected climate change. Our coupled climate and social model resulted in a global temperature change ranging from 3.4–6.2 °C by 2100 compared with 4.9 °C for the C-ROADS model alone, and led to behavioral uncertainty that was of a similar magnitude to physical uncertainty (2.8 °C versus 3.5 °C). Model components with the largest influence on temperature were the functional form of response to extreme events, interaction of perceived behavioral control with perceived social norms, and behaviors leading to sustained emissions reductions. Our results suggest that policies emphasizing the appropriate attribution of extreme events to climate change and infrastructural mitigation may reduce climate change the most
Does Prone Positioning Decrease Mortality Rate in ARDS? A Systematic Review
Acute Respiratory Distress Syndrome (ARDS) is a clinical condition in which the lungs suffer severe irreversible, large-scale damage causing a grievous form of hypoxemic respiratory failure. Acute respiratory distress syndrome is one of the most evasive diagnosis confronted in the Intensive care unit (ICU) as the name, definition and diagnostic standards have adapted over the past four decades. An ARDS diagnosis is established by physiological criteria and continues to be a diagnosis of exclusion, which makes it crucial that medical professionals expand their knowledge base to effectively diagnose ARDS. Patients admitted with ARDS have high mortality rates ranging from 40 to 60 percent. High-level quality supportive care continues to be the sole option for ARDS treatment. Even with improved supportive care, however, ARDS prognosis is still poor. Extended prone positioning (PP) has been shown to increase alveolar recruitment end expiratory lung volume, thereby improving oxygenation and survival. Unfortunately, few studies have examined the association of mortality and prone positioning in ARDS. A systematic review was conducted to examine the following research question: Does prone positioning compared to supine positioning in patients with ARDS decrease mortality rates? This systematic review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Critical Appraisal Skills Programme (CASP). A literature review was performed and data were collected from each study. A cross study analysis was performed and PP was found to reduce mortality rate in patients who were severely hypoxic. The reviewed studies demonstrated that incorporating early and longer periods of PP may improve mortality in ARDS patients, but further research is needed
Identification of Barriers to SBARB at the Bedside in an Acute Care Setting
Nurse to nurse handoff that occurs at the end of each shift is a known area of potential safety risk due to poor communication and inadequate safety checks. The Joint Commission (TJC) reported that communication between healthcare providers or between patient and healthcare providers was the leading root cause of sentinel events. Research supports the benefits of a structure handoff at the bedside to patient safety and satisfaction. Despite these proven benefits, staff nurses have not consistently embraced the practice. The purpose of this study was to identify nurses’ perceived barriers to performing SBARP (Situation, Background, Assessment, Recommendation and Patient) at the bedside in an acute care setting. Rogers Diffusion of Innovation Theory was used to guide the development and implementation of this project. A mixed qualitative and quantitative survey was utilized to assess the nurses’ perceived barriers to performing SBARP at the patient’s bedside. The survey was distributed to nurses employed on two medical-surgical floors at Newport Hospital. Responses (N = 19) showed that although staff nurses perceived that bedside handoff positively impacted patient satisfaction and patient safety, they did not routinely practice bedside handoff. Nurses cited lack of comfort with the practice, patient privacy, perception of time, and communication of sensitive information as barriers to performing bedside handoff. Sustaining practice change over time in an organization can be challenging. Leadership support and enforcement of bedside handoff in addition to targeted education to reduce perceived barriers to the practice may help to increase the practice of bedside handoff
Barriers Faced by Nurses Caring For End-of-Life Patients on a Medical Surgical Unit
Many patients will spend their final days and die in the hospital. The hospital setting provides unique challenges to providing high quality end of life care. The nurses’ role in caring for end-of-life patients in this challenging setting is extremely important. The purpose of this study was to determine what barriers registered nurses (RNs) face while caring for end-of-life patients on a medical-surgical unit in the hospital setting. A survey was used to identify these barriers on a medical surgical unit at Westerly Hospital. The theory of Nurse Moral Distress by Corley (2002) was used to guide this study. The results of the survey reinforced that nurses in the medical-surgical setting are faced with barriers that make caring for end-of-life care patients challenging. The most frequent barriers identified to providing good end-of-life care were a lack of time and education/training. Nurses described “managing your patient assignment is difficult” while caring for an end-of-life patient, especially because their “is never enough time”. These results are useful in identifying areas in which the Advanced Practice Nurse can help influence change in this setting such as leading educational initiatives and creating and implementing policies and procedures. Through these efforts, the APRN can work with nurses and the interdisciplinary team to improve patient and family experiences during this difficult time
The Implications of Model Body Size and Self-Congruity on Consumer Attitudes & Purchase Intention in Women\u27s Lingerie Advertisements
“Real” advertising, or advertising products using more “realistically” sized models, has recently become a notable trend within the fashion and beauty industries. However, little research has been done thus far to reveal the implications of such advertising tactics on consumer attitudes and purchase intention. In other words, this study intends to answer the following question: is this emerging advertising strategy truly effective? The idea of featuring models with body dimensions that more accurately represent the consumer’s body size taps into the concept of self-congruity. Self-congruity, or the level of likeness between consumer self-concept and the typical brand-user image, presents the theoretical framework of this study. In other words, does “real” advertising, or using larger and thus more realistically-sized models, work most effectively when the consumer perceives likeness to the model? This study included 406 adult women between the ages of 18-79 with a mean age of 31.4 years. An online survey was used to investigate the hypotheses. Major findings of the study include evidence to support that using models that participants found to be medium-sized does not result in poor outcomes in advertising effectiveness as measured in purchase intention, brand attitude and attitude towards advertisement. Rather, advertisements featuring models perceived as medium-sized by the participants correlated with more favorable outcomes in term of attitudes toward the advertisement and brand. The results of the data analyses also suggested that self-congruity, particularly actual self-congruity and ideal self-congruity, can be useful in predicting purchase intention, attitude towards advertisement and attitude towards brand
All American Recipes: A Selection of Eduardo da Graça Recipes
This is an edited and reformatted publication based on a handwritten cookbook by Eduardo da Graça, who emigrated from Cape Verde to the United States in 1925. He worked as a chef at the Minden Hotel in Providence, Rhode Island where he kept this notebook of favorite recipes.
The creation of this document was part of a Professional Field Experience (PFE) internship by Monica Taboada, a graduate student at the Simmons School of Library and Information Science
Investigating the Social Support for Three Social-Political Movements: A Terror Management Theory Perspective
Objective: This study investigated the social support for the Black, Blue, and All Lives Matter movements from the perspective of terror management theory (Greenberg et.al., 1986; TMT). Method: Participants completed a set of questionnaires about death, pain, self-esteem, self-consciousness, justice sensitivity and their opinions towards social issues currently happening in the nation. The order of questionnaire differed, as to prime participants with death (the experimental condition) or pain (the control condition) as their first questionnaire. Results: There was support for the Black Lives Matter movement regardless of priming condition. Additionally, post-hoc analysis revealed a negative correlation between participant’s death anxiety score and their self-esteem, as well as a negative correlation between the death anxiety score and the blue lives matter movement. Lastly, there was a positive correlation between death anxiety and justice sensitivity. Conclusion: These findings suggest that mortality salience had no influence on people’s opinions toward these movements; rather, the death scale served as a chronic prime