781 research outputs found
Analyzing Media Representations of Male Rape and Debunking Myths on \u27Law and Order Special Victims Unit\u27
Full text linkThe project that I have done shows the importance of recognizing that male rape does exist and that it is more frequent than people think. By using Law and Order Special Victims Unit I am able to portray how myths about male rape are debunked and how the show creates new ways of thinking about male rape. Little research has been conducted about male rape and what we do know comes from the myths that are created in society and reinforced by false representations in the media. The research also concludes that we need more research to fully understand the prevalence and effects of male rape. I conducted a content and media of analysis of three episodes of Law and Order Special Victims Unit, in which the main focus was male rape by women. I have found that Law and Order Special Victims Unit fully represents the arguments surrounding male rape as well as the emotions that go into these discussions. In addition, this television show highlights the fact that these myths about male rape influence the way the police and judicial system interact with male victims and handle male rape cases. The literature that I have read about male rape and in the episodes that I have analyze have also shown me that the way the police and judicial system handles male victims influences the way victims talk to the police or decide to press charges against their attackers. The analysis of Law and Order Special Victims Unit in combination with the literature that I have read shows that male rape does not only happens in prisons or is committed by gay males
Awareness and bispectral index (BIS) monitoring in mechanically ventilated patients in the emergency department and intensive care unit: A systematic review protocol
Get PDFINTRODUCTION: Accidental awareness with recall is one of the most feared complications for patients undergoing general anaesthesia and can lead to post-traumatic stress disorder in up to 70% of patients experiencing it. To reduce the incidence of awareness with recall, the bispectral index monitor is recommended for patients receiving total intravenous anaesthetics, especially those receiving neuromuscular blockers. While extensive investigation into awareness and bispectral index monitoring has occurred for operating room patients, this has not extended to other clinical arenas where sedated and mechanically ventilated patients are cared for, namely the intensive care unit and emergency department. The purpose of this systematic review is to assess the world\u27s literature to determine the incidence of awareness with paralysis in mechanically ventilated patients and the impact of bispectral index monitoring for reducing this complication.
METHODS AND ANALYSIS: Randomised trials and non-randomised studies are eligible for inclusion. With aid from a medical librarian, an electronic search will include Ovid Medline, Embase.com, Scopus, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials. To find data published in abstract form, literature from professional society conferences (2010-2019) will be manually searched. Two authors will independently review search results and consensus will be reached with assistance from a third author, as needed. Heterogeneity and publication bias will be assessed and reported. If possible and appropriate, a meta-analysis of the data will be conducted for quantitative data analysis.
ETHICS AND DISSEMINATION: The proposed systematic review does not require ethical approval, as it is conducted at the study level and does not involve individual patient-level data. Results will be disseminated by data sharing via academically established means, presentation at local and national scientific meetings and publication as a peer-reviewed manuscript.
PROSPERO REGISTRATION NUMBER: The protocol has been submitted to International Prospective Register of Systematic Reviews and is awaiting registration
When Programs Collide - A Panel Discussion on the Competing Interests of Analytics and Security
Get PDFThe increasing demand for business analytics and cybersecurity professionals provides an exciting job outlook for graduates of information systems programs. However, the rapid proliferation of devices and systems that has spurred this trend has created a challenging ethical dilemma for those responsible for educating future generations of IT professionals. Many firms are collecting and storing as much data as possible in the hopes that technology might uncover useful insights in the future. This results in an ever-increasing challenge for those charged with protecting organizational assets and exerts pressure on executives seeking an analytical edge to remain profitable in a hyper-competitive marketplace. With this dilemma in mind, the panel will search for a delicate balance between unleashing the power of analytics and securing the sensitive data it consumes. Keyword
Recurrent adult-onset hypophyseal Langerhans cell histiocytosis after radiotherapy: A case report
Get PDFINTRODUCTION: Langerhans cell histiocytosis is a rare disease within the adult population, with very few cases reported as solitary hypophyseal lesions in adults. Of the reported cases, most have been treated successfully with surgery, radiotherapy, and/or chemotherapy. Radiotherapy has been thought to be curative at the relatively low dose of 20Gy. Here we report a case of recurrent hypophyseal Langerhans cell histiocytosis 9 months after radiotherapy with an interval period of symptomatic and radiographic response to therapy. CASE PRESENTATION: A 50-year-old Caucasian woman who had headaches, memory difficulties, and diabetes insipidus was found to have a 2.5cm suprasellar mass. Langerhans cell histiocytosis was diagnosed following stereotactic brain biopsy. Further workup revealed no other lesions. Initial radiation treatment succeeded in shrinking the tumor and relieving clinical symptoms temporarily; however, growth and recurrence of clinical symptoms was noted at 9 months. Re-irradiation was well tolerated and the patient had no acute side effects. CONCLUSION: Isolated hypophyseal involvement by Langerhans cell histiocytosis in adults is a unique presentation of a rare disease. Although radiotherapy doses as low as 20Gy have been reported to offer control, this case demonstrates that higher doses may be warranted to ensure tumor control. With modern imaging and radiotherapy techniques higher doses should offer little increased more durable risk to surrounding critical structures
When Programs Collide: A Panel Report on the Competing Interests of Analytics and Security
Get PDFThe increasing demand for business analytics and cybersecurity professionals provides an exciting job outlook for graduates of information systems programs. However, the rapid proliferation of devices and systems that spurred this trend has created a challenging ethical dilemma for the individuals responsible for educating future generations of information technology professionals. Many firms collect and store as much data as possible in the hope that technology might uncover useful insights in the future. This behavior results in an ever-increasing challenge for those charged with protecting organizational assets and exerts pressure on executives seeking an analytical edge to remain profitable in a hyper-competitive marketplace. With this dilemma in mind, a recent panel discussion at the 14th Annual Midwest Association for Information Systems Conference explored the delicate balance between unleashing the power of analytics and securing the sensitive data it consumes while respecting consumer privacy. This paper reports on that discussion and its insights
Insectdisease: Programmatic Access to the Ecological Database of the World’s Insect Pathogens
Get PDFCurated databases of species interactions are instrumental to exploring and understanding the spatial distribution of species and their biotic interactions. In the process of conducting such projects, data development and curation efforts may give rise to a data product with utility beyond the scope of the original work, but which becomes inaccessible over time. Data describing insect host–pathogen interactions are fairly rare, and should thus be preserved and curated with appropriate metadata. Here, we introduce the insectDisease R package, a mechanism for curating, updating and distributing data from the Ecological Database of the World\u27s Insect Pathogens, a database of insect host–pathogen associations, including attempted inoculations and infection outcomes for insect hosts and pathogens (bacteria, fungi, nematodes, protozoans and viruses). This dataset has been utilized for several projects since its inception, but without a well-defined, curated and permanent repository, its existence and access have been limited to word-of-mouth connections. The current effort presented here aims to provide a means to preserve, augment and disseminate the database in a documented and versioned format. This project is an example of the type of effort that will be necessary to maintain valuable databases after the original funding disappears
Computerized Tailored Interventions to Enhance Prevention and Screening for Hepatitis C Virus Among People Who Inject Drugs: Protocol for a Randomized Pilot Study.
Get PDFBACKGROUND: Hepatitis C virus (HCV) infection is a growing problem among people who inject drugs. Strategies to reduce disease transmission (eg, syringe exchange programs) and facilitate HCV screening and linkage are available but are under-utilized in many communities affected by injection drug use. Novel approaches to increasing the use of these strategies are needed.
OBJECTIVE: The goals of this project are to (1) develop and pilot test a computerized tailored intervention for increasing HCV screening and decreasing risky drug use behavior among people who inject drugs and (2) determine the feasibility of disseminating such an intervention using peer-based referrals in the setting of a community-based syringe exchange program.
METHODS: This 2-arm, randomized pilot study is being conducted in a large-volume, multisite syringe exchange program in southern Wisconsin. A social network-based strategy was used to recruit a total of 235 adults who reported past-month injection of opioids, cocaine, or methamphetamine. Network recruiters were identified among clients requesting services from the syringe exchange program and were enlisted to refer eligible peers to the study. All participants completed a computer-adapted questionnaire eliciting information about risk behaviors and their knowledge, attitudes, and prior experiences related to HCV screening. Subjects were then randomly assigned to receive usual care, consisting of standard counseling by syringe exchange staff, or the Hep-Net intervention, which provides algorithm-based, real-time tailored feedback and recommendations for behavior change in the style of motivational interviewing. Changes in drug use behaviors and attitudes will be assessed during a second session between 90 and 180 days after the baseline visit. Frequency of repeat HCV testing and HCV incidence will be assessed through a database search 1 year after study completion.
RESULTS: Recruitment for this study was completed in April 2015. Follow-up of enrolled participants is expected to continue until March 2016. Network recruiters were enrolled who referred a total of 195 eligible peers (overall N=235). At baseline, the median age was 34 years; 41.3% (97/235) were non-white; and 86.4% (203/235) reported predominantly injecting heroin. Most participants (161/234, 68.8%) reported sharing injection equipment in the past and of these, 30.4% (49/161) had never been tested for HCV.
CONCLUSIONS: This study will provide preliminary evidence to determine whether incorporating computerized behavioral interventions into existing prevention services at syringe exchange programs can lead to adoption of healthier behaviors.
TRIAL REGISTRATION: ClinicalTrials.gov NCT02474043; https://clinicaltrials.gov/ct2/show/NCT02474043 (Archived by WebCite at http://www.webcitation.org/6dbjUQG7J)
IRFM T_eff calibrations for cluster and field giants in the Vilnius, Geneva, RI(C) and DDO photometric systems
Full text linkBased on a large sample of disk and halo giant stars, for which accurate
effective temperatures derived through the InfraRed Flux Method (IRFM) exist, a
calibration of the temperature scale in the Vilnius, Geneva, RI(C) and DDO
photometric systems is performed. We provide calibration formulae for the
metallicity dependent T_eff vs color relations as well as grids of intrinsic
colors and compare them with other calibrations. Photometry, atmospheric
parameters and reddening corrections for the stars of the sample have been
updated with respect to the original sources in order to reduce the dispersion
of the fits. Application of our results to Arcturus leads to an effective
temperature in excellent agreement with the value derived from its angular
diameter and integrated flux. The effects of gravity on these T_eff vs color
relations are also explored by taking into account our previous results for
dwarf stars.Comment: Accepted for publication in A&
Understanding the ongoing learning needs of Australian metropolitan, rural and remote paediatricians: Evaluation of a neurology outreach programme
Get PDFAim: The purpose of this study was to evaluate whether a neurology outreach teaching programme delivered via video-teleconferencing (6 × 60 min live sessions every 6–8 weeks) is acceptable, contributes to understanding and meets the neurology learning needs of Australian paediatricians from metropolitan, rural and remote areas.
Methods: A sample of six NSW sites that joined the neurology outreach programme between 2017 and 2019 (Arm 1) and six interstate sites from QLD, WA and TAS who commenced the programme in 2020 (Arm 2) participated. A mixed-methods survey explored participants' learning needs and value of the programme.
Results: Forty-six participants submitted programme evaluation surveys (26 arm 1, 20 arm 2); 9 were removed due to insufficient data (n = 37). Quantitative and qualitative data showed the programme was acceptable in format, relevant to practice, appropriate for clinician learning needs, and engaging. Clinicians reported improvement in understanding and confidence. Participants felt more connected/less isolated and up-to-date. Participants reported a positive impact from the programme on approach to neurological problems and ensuing consults, and more differentiated and appropriate paediatric neurology referrals.
Conclusion: This study validates the live video-teleconference outreach model as an acceptable, effective and important means of providing continuing neurology education for Australian paediatricians
A study protocol for a multicentre, prospective, before-and-after trial evaluating the feasibility of implementing targeted SEDation after initiation of mechanical ventilation in the emergency department (The ED-SED Pilot Trial)
Get PDFINTRODUCTION: Sedation is a cornerstone therapy in the management of patients receiving mechanical ventilation and is highly influential on outcome. Early sedation depth appears especially influential, as early deep sedation is associated with worse outcome when compared with light sedation. Our research group has shown that patients receiving mechanical ventilation in the emergency department (ED) are exposed to deep sedation commonly, and ED sedation depth is impactful on intensive care unit (ICU) care and clinical outcomes. While extensive investigation has occurred for patients in the ICU, comparatively little data exist from the ED. Given the influence that ED sedation seems to carry, as well as a lack of ED-based sedation trials, there is significant rationale to investigate ED-based sedation as a means to improve outcome.
METHODS AND ANALYSIS: This is a multicentre (n=3) prospective, before-and-after pilot trial examining the feasibility of implementing targeted sedation in the immediate postintubation period in the ED. A cohort of 344 patients receiving mechanical ventilation in ED will be included. Feasibility outcomes include: (1) participant recruitment; (2) proportion of Richmond Agitation-Sedation Scale (RASS) scores in the deep sedation range; (3) reliability (agreement) of RASS measurements performed by bedside ED nurses; and (4) adverse events. The proportion of deep sedation measurements before and after the intervention will be compared using the χ
ETHICS AND DISSEMINATION: The Human Research Protection Office at Washington University in St. Louis School of Medicine has approved the study. The publication of peer-reviewed manuscripts and the presentation of abstracts at scientific meetings will be used to disseminate the work.
REGISTRATION: ClinicalTrials.gov identifier NCT04410783; Pre-results
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