NY Stakeholders' Interaction and Feedback on a Coastal Protective Strategy Optimization

Purpose Schema therapy has gone through various adaptations, including the identification of various schema modes. The purpose of this paper is to suggest that there may be a further dissociative mode, the “frozen child” mode, which is active for some patients, particularly those that have experienced extreme childhood trauma. Design/methodology/approach The paper is participant observer case study which is based on the personal reflections of a forensic patient who completed a treatment programme which includes schema therapy. Findings The proposed mode, “frozen child”, is supported by theoretical indicators in the literature. It is proposed that patients develop this mode as a protective strategy and that unless recognised and worked with, can prevent successful completion of therapy. Research limitations/implications Based on a single case study, this concept is presented as a hypothesis that requires validation as the use of the case study makes generalisation difficult. Practical implications It is suggested that if validated, this may be one of the blocks therapists have previously encountered that has led to the view that people with severe personality disorder are “untreatable”. Suggestions are made as to how patients with this mode, if validated, can be treated with recommendations as to the most appropriate processes to potentiate such therapy. Originality/value The suggestion of this potential “new schema mode” is based on service user initiative, arising from a collaborative enterprise between service user and clinician, as recommended in recent government policies.

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Surface modification of carbon fiber as a protective strategy against thermal degradation

Composites Part A Applied Science and Manufacturing ◽

10.1016/j.compositesa.2021.106740 ◽

2021 ◽

pp. 106740

Author(s):

Y. Athulya Wickramasingha ◽

Bhagya Dharmasiri ◽

James D. Randall ◽

Yanting Yin ◽

Gunther G. Andersson ◽

...

Keyword(s):

Surface Modification ◽

Carbon Fiber ◽

Thermal Degradation ◽

Protective Strategy

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Abstract P139: Rates of Low Output Failure After Cardiac Surgery Cannot Be Explained Solely by Preoperative Characteristics

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.4.suppl_2.ap139 ◽

2011 ◽

Vol 4 (suppl_2) ◽

Author(s):

Donald S Likosky ◽

Yvon R Baribeau ◽

Jeremiah R Brown ◽

Benjamin M Westbrook ◽

Lawrence J Dacey ◽

...

Keyword(s):

New England ◽

Artery Bypass ◽

Case Volume ◽

Cabg Surgery ◽

Operative Outcomes ◽

Time Period ◽

Protective Strategy ◽

Northern New England ◽

Future Work ◽

The Relationship

Background: Post-operative low output failure (LOF) is an important contributor to morbidity and mortality during coronary artery bypass grafting (CABG) surgery, and may result from poor myocardial protection. We hypothesized that rates of LOF would vary across surgeons, in part attributed to their myocardial protective strategy. Methods: We identified 11,838 patients undergoing non-emergent, isolated CABG surgery utilizing cardiopulmonary bypass (CPB) at 8 centers in northern New England from 2001-2009. Our cohort included patients with preoperative ejection fractions 40+% and patients operated on by surgeons who performed 80+ CABG procedures during the time period. Patients with preoperative balloon pumps were excluded. LOF was defined as the need for an intra- or post-operative balloon pump, or return to CPB or 2+ inotropes at 48 hours. Predicted rates of LOF were estimated using logistic regression. Results: Case volume varied across surgeons (range: 80-766, median: 344). Overall rate of LOF was 5.3% (return to CPB: 3.2%, balloon pump: 1.8%, inotrope usage: 1.3%). While predicted risk of LOF did not differ across surgeons, p=0.381, observed rates varied from 1.1% to 15.6%, p=0.003 (Figure). Post-operative outcomes, including death (ptrend=0.03) or stroke (ptrend =0.02), significantly increased across surgical LOF strata (low: <2%, medium: 3-9%, high: 10+%). Conclusions There was a 14-fold variability in rates of LOF across surgeons among patients with ejection fractions 40+%. This variability could not be explained by patient case mix. Future work should focus on understanding the relationship between myocardial protective strategy and risk of LOF.

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Daily Variations of Photosynthetic Efficiency of Greenhouse Tomato Plants during Winter and Spring

Journal of the American Society for Horticultural Science ◽

10.21273/jashs.125.2.235 ◽

2000 ◽

Vol 125 (2) ◽

pp. 235-241 ◽

Cited By ~ 16

Author(s):

O. Ayari ◽

M. Dorais ◽

A. Gosselin

Keyword(s):

Photosynthetic Efficiency ◽

Photosynthetic Activity ◽

Photon Flux ◽

Tomato Plants ◽

Greenhouse Tomato ◽

Northern Latitudes ◽

Protective Strategy ◽

Growing Conditions ◽

Source Limitation

Daily and seasonal variations of photosynthetic activity, chlorophyll a (Chl-a) fluorescence and foliar carbohydrate content were studied in situ on greenhouse tomato (Lycopersicon esculentum Mill. `Trust') plants grown under CO2 enrichment and supplemental lighting. The objective of this study was to assess the effect of seasonal variation of the photosynthetic photon flux (PPF) on photosynthetic efficiency of tomato plants and to determine the presence or absence of photosynthetic down-regulation under greenhouse growing conditions prevailing in northern latitudes. During winter, the fifth and the tenth leaves of tomato plants showed low, constant daily photosynthetic activity suggesting a source limitation under low PPF. In winter, the ratio of variable to maximum Chl-a fluorescence in dark adapted state (Fv/Fm) remained constant during the day indicating no photoinhibition occurred. In February, an increase in photosynthetic activity was followed by a decline during March, April, and May accompanied by an increase in sucrose and daily starch concentrations and constant but high hexose level. This accumulation was a long-term response to high PPF and CO2 enrichment which would be caused by a sink limitation. Thus, in spring we observed an in situ downregulation of photosynthesis. The ratio Fv/Fm decreased in spring compared to winter in response to increasing PPF. The daily decline of Fv/Fm was observed particularly as a midday depression followed by a recovery towards the end of the day. This indicated that tomato leaves were subject to a reversible inhibition in spring. Fv/Fm was lower in March than in April and May even though PPF was higher in April and May than in March. These results suggest that tomato plants develop an adaptive and protective strategy as PPF increases in spring.

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Impact on the Service Volume of a Single Hand Surgery Center during the COVID-19 Pandemic Period in Daegu

Archives of Hand and Microsurgery ◽

10.12790/ahm.21.0120 ◽

2021 ◽

Author(s):

Sang Ho Oh ◽

Young Woo Kim ◽

Sang Hyun Woo

Keyword(s):

Emergency Room ◽

Hand Surgery ◽

Significant Negative Correlation ◽

Protective Equipment ◽

Hand Trauma ◽

Early Recovery ◽

Peak Period ◽

Wrist Fractures ◽

Protective Strategy ◽

Surgery Center

Purpose: We investigated what changes occurred at single hand surgery center during the coronavirus disease 2019 (COVID-19) pandemic in Daegu, Korea using patient data of 4 years (2018–2021).Methods: This is a single-center retrospective study of patients visiting our center during the COVID-19 pandemic for 4 years (January 22 to May 6). Service volumes (SVs) including the number of in/outpatient, emergency room, elective, and emergency surgery were analyzed. During the peak period of the COVID-19 (February 24 to March 9, 2020), patient’s demographics, injury mechanism, and place of injury of hand trauma were analyzed.Results: SVs were significantly reduced in 2020 as compared with other years. The SVs except for the number of emergency surgeries have recovered after 2 months from the first confirmed case of COVID-19 in Daegu, Korea. At the peak period, the effect of COVID-19 was weak on emergency room-related SVs. In addition, a daily number of in/outpatients and elective surgeries had a statistically significant negative correlation with the number of COVID-19 confirmed (p<0.05). During the peak period, superficial laceration increased and finger and wrist fractures decreased. The number of cases occurring in workplace increased, however, occurring outside during daily life decreased.Conclusion: COVID-19 pandemic greatly reduces service volume in our center. Thorough protective strategy from COVID-19 such as personal protective equipment was essential for early recovery of hospital functions during the pandemic. In addition, manpower for the emergency room must be preserved during the pandemic. The results of our study, which reported SVs through the pandemic will help maintain the function of hand surgery centers.

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Ab initio calculations of scytonemin derivatives of relevance to extremophile characterization by Raman spectroscopy

Philosophical Transactions of The Royal Society A Mathematical Physical and Engineering Sciences ◽

10.1098/rsta.2010.0019 ◽

2010 ◽

Vol 368 (1922) ◽

pp. 3193-3203 ◽

Cited By ~ 17

Author(s):

Tereza Varnali ◽

Howell G. M. Edwards

Keyword(s):

Ab Initio ◽

Structural Changes ◽

Spectral Characteristics ◽

Special Role ◽

Absorption Bands ◽

Parent Molecule ◽

Detailed Structural Analysis ◽

Protective Strategy ◽

Terrestrial Environments ◽

Martian Regolith

The recognition that scytonemin, the radiation protectant pigment produced by extremophilic cyanobacterial colonies in stressed terrestrial environments, is a key biomarker for extinct or extant life preserved in geological scenarios is critically important for the detection of life signatures by remote analytical instrumentation on planetary surfaces and subsurfaces. The ExoMars mission to seek life signatures on Mars is just one experiment that will rely upon the detection of molecules such as scytonemin in the Martian regolith. Following a detailed structural analysis of the parent scytonemin, we report here for the first time a similar analysis of several of its methoxy derivatives that have recently been extracted from stressed cyanobacteria. Ab initio calculations have been carried out to determine the most stable molecular configurations, and the implications of the structural changes imposed by the methoxy group additions on the spectral characteristics of the parent molecule are discussed. The calculated electronic absorption bands of the derivative molecules reveal that their capability of removing UVA wavelengths is removed while preserving the ability to absorb the shorter wavelength UVB and UVC radiation, in contrast to scytonemin itself. This is indicative of a special role for these molecules in the protective strategy of the cyanobacterial extremophiles.

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Safety and Efficacy of DEET and Permethrin in the Prevention of Arthropod Attack

Military Medicine ◽

10.1093/milmed/163.5.324 ◽

1998 ◽

Vol 163 (5) ◽

pp. 324-330 ◽

Cited By ~ 65

Author(s):

G. David Young ◽

Sandra Evans

Keyword(s):

Occupational Health ◽

Infectious Diseases ◽

Personal Protective Equipment ◽

Synthetic Pyrethroid ◽

Protective Equipment ◽

Insect Repellent ◽

First Line ◽

Protective Measures ◽

Safety And Efficacy ◽

Protective Strategy

Abstract Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)methyl(±)cis,trans-3-(2,2-dichloroethenyl)-2,2-dimethylcyclopropane-carboxylate] insecticide on the battle dress uniform, while the uniform is worn properly, is a personal protective strategy officially known as the DOD Insect Repellent System. It is important for troop commanders and field leaders to enforce the use of personal protective measures to prevent insect-borne infectious diseases and to ensure troop and soldier readiness. DEET is a safe and effective repellent. Permethrin is a synthetic pyrethroid insecticide and repellent. Used in conjunction with proper clothing and other personal protective equipment, these repellents provide the best known protection available and are critical in minimizing the occupational health threat of arthropod-borne diseases to troops in the field.

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Affect Theory, Religion, and Sport

Religions ◽

10.3390/rel10080457 ◽

2019 ◽

Vol 10 (8) ◽

pp. 457

Author(s):

Eric Bain-Selbo

Keyword(s):

Affect Theory ◽

Protective Strategy

Affect theory has made important contributions recently to the study of religion, particularly drawing our attention away from ideas and practices to the emotional or affectual experience of religion. However, there is a danger that affect theory may become yet another “protective strategy” (to use a term from philosopher of religion Wayne Proudfoot) in academic wars about the nature of religion. As a consequence, there is a danger that affect theory will become too restrictive in its scope, limiting our ability to use it effectively in investigating “religious” or “spiritual” affects in otherwise secular practices and institutions (such as sport). If we can avoid turning affect theory into a protective strategy, it can become a useful tool to provide insights into the “spirituality” of sport.

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