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The Evil Mad: Villainous Neurosis in Batman
Get PDFAn analysis of Batman media-- specifically, various cartoons and comic books-- with an eye towards the franchise\u27s representation of mental illness and disability. This honors project examines Batman through the lens of multiple genres and understands it as a cultural artifact that reflects mainstream anxieties regarding the mentally ill and mental illness
Debriefing in the Emergency Department
Get PDFWorkplace stress is a common hazard in many occupations, especially in healthcare. Workplace stress has physical and psychological impacts and can lead to burnout. Nurses exhibit high levels of stress and burnout, especially those working in the emergency department (ED). Strategies to combat stress and burnout are vital to preserve the overall heath and retention of staff in the workplace. One strategy is to incorporate debriefing sessions following traumatic events. The purpose of this study was to explore ED nurses’ opinions of debriefing sessions in the ED. The design was a qualitative survey. The study site was in the emergency department at Newport Hospital, in Newport, Rhode Island. The survey was anonymous and voluntary and consisted of six open-ended questions regarding the use and effectiveness of debriefings sessions following traumatic events in the emergency department. Twenty-one RN’s chose to complete and submit surveys (n=21). The results revealed that ED RN’s have a well-defined understanding of the purpose of debriefing sessions, and believe they are important to use following stressful events. While traumatic events, particularly those involving children and young persons, are most often debriefed, the nurses believe debriefing is underutilized in this department. Therefore, strategies should be taken to increase the use of debriefing sessions. Hospital guidelines may help identify what incidents require a debriefing, and may lead to an increase in their use in the future
An Exploration of Potential Gender Differences in the Discipline of Nurse Anesthetists
Get PDFGreat diversity exists in the US population, therefore the US Department of Health and Human Services [HHS] has called for increased diversity among healthcare professionals as a means of improving public health outcomes. Males are consistently a minority group within the nursing profession and are disproportionately disciplined. The disproportionate discipline of male nurses and the loss of licensure often resulting from censure may have an impact on efforts to diversify the nursing sector of healthcare. Among certified registered nurse anesthetists [CRNAs], the ratio of males to females is more equal and little data exists examining the characteristics of disciplined CRNAs. The purpose of this study was to describe formal licensure discipline against CRNAs practicing in select states during a 33-year period (1983-2017). This descriptive study is a retrospective cohort study involving secondary data analysis of public records information. Disciplinary list data was generated via the database tools accessible on the government websites provided by each state department of health and/or BON. The disciplinary list data was then cross-referenced against the Nursys database maintained by the National Council of State Boards of Nursing (NCSBN) for greater detail and analysis. Of the CRNA licenses in the sample (n=4401), the rate of sanction was 1.20% (n=53). Males (n=26) were disciplined more often than women (n=27) at a ratio of 1.6:1. CRNAs in this study were six times more likely to commit an infraction related to substance abuse than any other single infraction type at 66% (n=35). Loss of licensure in some form resulted in approximately 51% (n=27) of cases
Hydrodynamic function of dorsal fins in spiny dogfish and bamboo sharks during steady swimming
Get PDFA key feature of fish functional design is the presence of multiple fins that allow thrust vectoring and redirection of fluid momentum to contribute to both steady swimming and maneuvering. A number of previous studies have analyzed the function of dorsal fins in teleost fishes in this context, but the hydrodynamic function of dorsal fins in freely swimming sharks has not been analyzed, despite the potential for differential functional roles between the anterior and posterior dorsal fins. Previous anatomical research has suggested a primarily stabilizing role for shark dorsal fins. We evaluated the generality of this hypothesis by using time-resolved particle image velocimetry to record water flow patterns in the wake of both the anterior and posterior dorsal fins in two species of freely swimming sharks: bamboo sharks (Chiloscyllium plagiosum) and spiny dogfish (Squalus acanthias). Cross-correlation analysis of consecutive images was used to calculate stroke-averaged mean longitudinal and lateral velocity components, and vorticity. In spiny dogfish, we observed a velocity deficit in the wake of the first dorsal fin and flow acceleration behind the second dorsal fin, indicating that the first dorsal fin experiences net drag while the second dorsal fin can aid in propulsion. In contrast, the wake of both dorsal fins in bamboo sharks displayed increased net flow velocity in the majority of trials, reflecting a thrust contribution to steady swimming. In bamboo sharks, fluid flow in the wake of the second dorsal fin had higher absolute average velocity than that for first dorsal fin, and this may result from a positive vortex interaction between the first and second dorsal fins. These data suggest that the first dorsal fin in spiny dogfish has primarily a stabilizing function, while the second dorsal fin has a propulsive function. In bamboo sharks, both dorsal fins can contribute thrust and should be considered as propulsive adjuncts to the body during steady swimming. The function of shark dorsal fins can thus differ considerably among fins and species, and is not limited to a stabilizing role
Carmilla\u27s Creampuffs
Get PDFBy using Carmilla as the ideal model of a web series with its approach to queer adaptation, brand partnerships, and overall fandom involvement, the qualities that web series must posses in order to be considered successful are outlined
Eye on Ethics: The Challenge of Disruptive Social Workers
No full textEvery profession has its share of disruptive practitioners. Social work is not immune; over the years I have encountered some in our very own profession, albeit relatively rarely. I suspect that many victims and witnesses of disruptive behavior keep quiet in order to avoid retaliation, stirring up bad blood, or other untoward consequences. But some victims and witnesses go public; some disruptive social workers find themselves named as respondents in licensing board complaints and defendants in malpractice lawsuits. These may be extreme cases, but they reflect a significant problem that has received scant attention
Visualizing Sorting Algorithms
Get PDFThis paper discusses a study performed on animating sorting algorithms as a learning aid for classroom instruction. A web-based animation tool was created to visualize four common sorting algorithms: Selection Sort, Bubble Sort, Insertion Sort, and Merge Sort. The animation tool would represent data as a bar-graph and after selecting a data-ordering and algorithm, the user can run an automated animation or step through it at their own pace. Afterwards, a study was conducted with a voluntary student population at Rhode Island College who were in the process of learning algorithms in their Computer Science curriculum. The study consisted of a demonstration and survey that asked the students questions that may show improvement when understanding algorithms. The results and responses are recorded and analyzed in this paper with respect to previous studies
Haplotyping Small Hive Beetle (Aethina Tumida) Reveals NA1 and NA2 Distribution in Rhode Island Apis Mellifera Hives
Get PDFThe small hive beetle (Aethina tumida) is a parasite of honeybee hives (Apis mellifera) and native to South Africa. Invasive in North America since 1996, the species has spread to hives throughout the continent, including many in Rhode Island and nearby states. To better understand migration patterns for this invasive species, we haplotyped small hive beetles (SHB) based on mitochondrial Cytochrome Oxidase Part 1 (COI) gene sequences. To analyze spatial and temporal haplotype distribution, we mapped haplotype data along with previously analyzed population numbers using ArcGIS. All identified beetles fell into one of two previously described haplotypes, either NA1 or NA2. NA1 and NA2 haplotypes showed similar frequencies based on total SHB numbers. However, NA2 was overrepresented during early and middle time points of the summer while NA1 levels rose dramatically during late summer. Additionally, identified beetles were predominantly from suburban hives, for which NA1 and NA2 frequencies were similar. Continued monitoring of SHB genetic structure will help to elucidate small scale patterns of migration
Evaluation of a Diabetes Management Program for Persons with Serious and Persistent Mental Illness
Get PDFClinical Practice Recommendations and Evidence-Based Guidelines for Integrated Care were used to evaluate a diabetes management program for persons with serious and persistent mental illness in an integrated primary and behavioral health care center in New England. A simple random method was used to select a sample of 25 medical records of patients with diabetes and at least one mental illness. Data on seven diabetes content areas offered to patients and biophysical measures of weight, body mass index (BMI) and Hemoglobin A1C were collected via retrospective electronic chart reviews. Results showed the center focused on nutrition and exercise education, offered to 90% and 85% of patients respectively. Other education areas, including medications, self-monitoring of blood sugar, foot care, dental care and smoking cessation were offered to 5%-40% of the patients. An unexpected finding was noted, in that most participants (65%) gained weight despite focused nutrition and exercise education. The BMI was consequently elevated at a median level of 35, identified as obese. In spite of the weight and BMI increase, 65% of the patients had well controlled diabetes with an A1C below 7.The finding may be attributed to compliance and personalized diabetes medication regimen. Keeping all appointments did not improve biophysical measures: 67% of those who kept all appointments gained weight and increased A1C from base line. The unexpected results underscore the complexity and confounding nature of factors influencing diabetes in this population despite measures to improve health outcomes
Teaching Ethics in the Training Academy: A State-of-the-Art Approach
No full textMembers of the Rhode Island Parole Board began the day’s hearings at the state’s most secure prison. The facility houses the state’s most recalcitrant inmates and, in a separate wing, those whose notoriety makes it difficult, if not impossible, for them to serve their sentences in general population. The board members passed through the institution’s control center and wended their way to the hearing room located deep within the prison. After walking through two sets of secure, electronically-controlled metal doors, they noticed an inmate, dressed in his blue prison uniform, mopping the hallway. The inmate, a former police detective, looked up, stood in his tracks, and instinctively saluted his former commanding officer from the Providence (Rhode Island) Police Department who served on the parole board. It was a poignant and startling moment, a stunning display of a once-celebrated police officer who fell from grace because of a profound moral lapse. We were members of that parole board. Sadly, this was not an isolated event. During our many years on the board we presided at hearings for several other former police officers who traded their law enforcement uniforms for inmate uniforms