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Successful Surgical Outcome after Traumatic Diaphragmatic Intra-Pericardial Herniation from Blunt Abdominal Injury
Get PDFIntrapericardial diaphragmatic hernia (IPDH) is a rare manifestation of non-hiatal diaphragmatic hernias (NHDH). Intrapericardial diaphragmatic hernia is defined as the prolapse of the abdominal viscera into the pericardium through the diaphragm. Their incidence has increased over the last 50-60 years, secondary to high-speed transport, and constitutes 5% of major thoracic and abdominal trauma today. These injuries can present during the initial workup or months after the initiating injury. These hernias can be caused by both blunt and penetrating trauma with concomitant central tendon rupture and pericardial laceration. We report an interesting case of intrapericardial diaphragmatic hernia with delayed presentation that was successfully reduced via open surgical repair after a laparoscopic repair attempt failed. We present a 77-year-old female admitted to the hospital after a motor vehicle crash. On hospital day 9, the patient developed shortness of breath, which prompted a chest x-ray. The chest x-ray revealed bowel in the patient’s chest. The patient was taken to the operating room, where they underwent an attempted laparoscopic diaphragmatic hernia repair and, ultimately, open repair of the diaphragmatic hernia. The patient did well after surgery and was discharged on post-injury day 22
What are the Causes and Remedies of Wrongful Convictions?
Get PDFWrongful convictions, also known as miscarriages of justice, are very common in the criminal justice system today. With the first known wrongful conviction in 1872, to the most recent in 2023, researchers have similarly identified three causes of wrongful convictions: false confessions, eyewitness errors, and investigative misconduct. Wrongful convictions can cause many physical and mental effects on post-exonerees and currently incarcerated individuals, including but not limited to, clinical anxiety, depression, and PTSD. Analyses of DNA (deoxyribonucleic acid) have proven instrumental in cases of wrongful convictions. Each exoneree should have access to the DNA database to test against the DNA evidence against them, which only nine states in the U.S. currently allow. More action is needed to prevent erroneous convictions in both the federal and state courts, such as further analysis of DNA evidence, access to evidence post-conviction and educating law enforcement concerning the potential and causes of false confessions
Humanities in the time of ChatGPT and other forms of AI
Get PDFHumanities in the time of ChatGPT and other forms of A
Burnout Among Rural Public-School Counselors
Get PDFThis study analyzed the risk of burnout for school counselors in rural Appalachia by surveying school counselors in West Virginia. The specific research questions delved into the areas that may predict a higher risk of burnout. These areas were clinical supervision, self-care engagement, levels of education, experience, caseloads, intensity of cases, and peer relationships. Utilizing a quantitative, predictive research design, the researcher asked participants in West Virginia to complete the Professional Quality of Life, version 5 and the Self-Care Assessment for Psychologists instruments as well as a demographic questionnaire to see if those areas could impact the potential risk of burnout. The findings provide concrete answers to these areas and school counselor burnout and implications for addressing these areas. Administrators who were not former school counselors will see how a school counselor’s need for clinical supervision can impact the potential for burnout
Integrating Feminist Approaches in Counseling Work With Adult Women
Get PDFThe scope of ‘women’s issues’ in counseling is an ever-evolving landscape. Recent events such as the reversal of Roe v. Wade and the disproportionate impact of COVID-19 on women serve as powerful reminders of the necessity of this focus while underscoring a deep-rooted history of oppressive patriarchal structures. Therefore, counselors must remain informed of the unique considerations surrounding adult women in counseling and acquire proficiency in versatile techniques to meet this population’s nuanced needs. This article examines the complexity of contemporary womanhood and explores the fundamentals of Feminist Counseling Theory (FCT), a holistic, multiculturally conscious, social justice theory in counseling. It further illustrates the benefits of FCT as a foundational framework supportive of various women’s concerns and demonstrates how the integration of FCT into counseling settings will enrich the counselor-client relationship and allow for improved outcomes