The Spiritual Event of Serious Illness

2018 ◽  
Author(s):  
Michael J. Balboni ◽  
Tracy A. Balboni
Keyword(s):  
Personal Experience ◽  
The United States ◽  
Spiritual Transformation ◽  
Illness Experience ◽  
Religion And Spirituality ◽  
Serious Illness ◽  
Metro Area ◽  
Spirituality And Religion ◽  
Personal Accounts ◽  
Almost All

This chapter explores patients’ personal accounts of spirituality and illness within four Boston hospitals, finding that the majority of patients consider spirituality and religion important to their illness experience. It highlights several interlocking themes that explain how religion and spirituality operate within a person’s personal experience. One key theme, spiritual transformation, highlights a shift that takes place for many patients within illness. Almost all patients, as they stare at the reality of their own mortality, find that our cultural camouflage of death disappears, and this serves as a catalyst for patients to directly consider and weigh spiritual issues. The Boston patient sample offers a “thick” account of patient experience within a metro area that is far less religious than many other places in the United States. Patient data confirm the claim that, for nearly all, illness emerges as a spiritual event of great importance.

scholarly journals Effects of B.1.1.7 and B.1.351 on COVID-19 Dynamics: A Campus Reopening Study

2021 ◽  
Author(s):  
Kevin Linka ◽  
Mathias Peirlinck ◽  
Amelie Schäfer ◽  
Oguz Ziya Tikenogullari ◽  
Alain Goriely ◽  
...  
Keyword(s):  
Online Education ◽  
The United States ◽  
Wild Type ◽  
Seir Model ◽  
Population Mixing ◽  
Santa Clara County ◽  
Increased Risk ◽  
Controversial Topic ◽  
Almost All ◽  
Local Reproduction

AbstractThe timing and sequence of safe campus reopening has remained the most controversial topic in higher education since the outbreak of the COVID-19 pandemic. By the end of March 2020, almost all colleges and universities in the United States had transitioned to an all online education and many institutions have not yet fully reopened to date. For a residential campus like Stanford University, the major challenge of reopening is to estimate the number of incoming infectious students at the first day of class. Here we learn the number of incoming infectious students using Bayesian inference and perform a series of retrospective and projective simulations to quantify the risk of campus reopening. We create a physics-based probabilistic model to infer the local reproduction dynamics for each state and adopt a network SEIR model to simulate the return of all undergraduates, broken down by their year of enrollment and state of origin. From these returning student populations, we predict the outbreak dynamics throughout the spring, summer, fall, and winter quarters using the inferred reproduction dynamics of Santa Clara County. We compare three different scenarios: the true outbreak dynamics under the wild-type SARS-CoV-2, and the hypothetical outbreak dynamics under the new COVID-19 variants B.1.1.7 and B.1.351 with 56% and 50% increased transmissibility. Our study reveals that even small changes in transmissibility can have an enormous impact on the overall case numbers. With no additional countermeasures, during the most affected quarter, the fall of 2020, there would have been 203 cases under baseline reproduction, compared to 4727 and 4256 cases for the B.1.1.7 and B.1.351 variants. Our results suggest that population mixing presents an increased risk for local outbreaks, especially with new and more infectious variants emerging across the globe. Tight outbreak control through mandatory quarantine and test-trace-isolate strategies will be critical in successfully managing these local outbreak dynamics.

scholarly journals The Effect of Vaccination Rates on the Infection of COVID-19 under the Vaccination Rate below the Herd Immunity Threshold

2021 ◽  
Vol 18 (14) ◽  
pp. 7491
Author(s):  
Yi-Tui Chen
Keyword(s):  
Infection Rate ◽  
Herd Immunity ◽  
The United States ◽  
Vaccination Rate ◽  
Infection Rates ◽  
Vaccination Rates ◽  
The United Kingdom ◽  
The World ◽  
Almost All ◽  
The Impact

Although vaccination is carried out worldwide, the vaccination rate varies greatly. As of 24 May 2021, in some countries, the proportion of the population fully vaccinated against COVID-19 has exceeded 50%, but in many countries, this proportion is still very low, less than 1%. This article aims to explore the impact of vaccination on the spread of the COVID-19 pandemic. As the herd immunity of almost all countries in the world has not been reached, several countries were selected as sample cases by employing the following criteria: more than 60 vaccine doses per 100 people and a population of more than one million people. In the end, a total of eight countries/regions were selected, including Israel, the UAE, Chile, the United Kingdom, the United States, Hungary, and Qatar. The results find that vaccination has a major impact on reducing infection rates in all countries. However, the infection rate after vaccination showed two trends. One is an inverted U-shaped trend, and the other is an L-shaped trend. For those countries with an inverted U-shaped trend, the infection rate begins to decline when the vaccination rate reaches 1.46–50.91 doses per 100 people.

scholarly journals Examining Variations in Surfactant Administration (ENVISION): A Neonatology Insights Pilot Project

Children ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 261
Author(s):  
Priya Patel ◽  
Andrew Houck ◽  
Daniel Fuentes
Keyword(s):  
Clinical Practice ◽  
Nurse Practitioners ◽  
Pilot Project ◽  
The United States ◽  
Institution Type ◽  
Respiratory Therapists ◽  
Respiratory Management ◽  
Surfactant Administration ◽  
Practice Variations ◽  
Almost All

Variability in neonatal clinical practice is well recognized. Respiratory management involves interdisciplinary care and often is protocol driven. The most recent published guidelines for management of respiratory distress syndrome and surfactant administration were published in 2014 and may not reflect current clinical practice in the United States. The goal of this project was to better understand variability in surfactant administration through conduct of health care provider (HCP) interviews. Questions focused on known practice variations included: use of premedication, decisions to treat, technique of surfactant administration and use of guidelines. Data were analyzed for trends and results were communicated with participants. A total of 54 HCPs participated from June to September 2020. In almost all settings, neonatologists or nurse practitioners intubated the infant and respiratory therapists administered surfactant. The INSURE (INtubation-SURrfactant-Extubation) technique was practiced by 83% of participants. Premedication prior to intubation was used by 76% of HCPs. An FiO2 ≥ 30% was the most common threshold for surfactant administration (48%). In conclusion, clinical practice variations exist in respiratory management and surfactant administration and do not seem to be specific to NICU level or institution type. It is unknown what effects the variability in clinical practice might have on clinical outcomes.

Philosophical implications of Tarski's work

1988 ◽  
Vol 53 (1) ◽  
pp. 80-91 ◽  
Author(s):  
Patrick Suppes
Keyword(s):  
United States ◽  
English Translation ◽  
The United States ◽  
International Congress ◽  
Unity Of Science ◽  
Scientific Philosophy ◽  
Philosophical Texts ◽  
Concept Of Truth ◽  
Almost All ◽  
Philosophical Questions

In his published work and even more in conversations, Tarski emphasized what he thought were important philosophical aspects of his work. The English translation of his more philosophical papers [56m] was dedicated to his teacher Tadeusz Kotarbiński, and in informal discussions of philosophy he often referred to the influence of Kotarbiński. Also, the influence of Leśniewski, his dissertation adviser, is evident in his early papers. Moreover, some of his important papers of the 1930s were initially given to philosophical audiences. For example, the famous monograph on the concept of truth ([33m], [35b]) was first given as two lectures to the Logic Section of the Philosophical Society in Warsaw in 1930. Second, his paper [33], which introduced the concepts of ω-consistency and ω-completeness as well as the rule of infinite induction, was first given at the Second Conference of the Polish Philosophical Society in Warsaw in 1927. Also [35c] was based upon an address given in 1934 to the conference for the Unity of Science in Prague; [36] and [36a] summarize an address given at the International Congress of Scientific Philosophy in Paris in 1935. The article [44a] was published in a philosophical journal and widely reprinted in philosophical texts. This list is of course not exhaustive but only representative of Tarski's philosophical interactions as reflected in lectures given to philosophical audiences, which were later embodied in substantial papers. After 1945 almost all of Tarski's publications and presentations are mathematical in character with one or two minor exceptions. This division, occurring about 1945, does not, however, indicate a loss of interest in philosophical questions but is a result of Tarski's moving to the Department of Mathematics at Berkeley. There he assumed an important role in the development of logic within mathematics in the United States.

International Conference on Safety of Life at Sea

1914 ◽  
Vol 8 (4) ◽  
pp. 758-768
Author(s):  
Everett P. Wheeler
Keyword(s):  
United States ◽  
The United States ◽  
International Conference ◽  
Human Skill ◽  
Almost All

In these days of wars which have engulfed almost all Europe it is a satisfaction to recall that thirteen nations sent their delegates to an international conference relating to safety of life at sea, no longer ago than December, 1913, and that they signed on the 20th of January, 1914, a convention which has been adopted by many of the nations and which was transmitted to the Senate of the United States by the President on the 17th of March. All the resources of human skill and science are now being used to destroy life. It is a pleasure to reflect that man has at one time been engaged in a more humane and, shall we not add, a more Christian undertaking.

CYSTIC FIBROSIS OF THE PANCREAS

PEDIATRICS ◽  
1957 ◽  
Vol 19 (6) ◽  
pp. 1136-1138
Author(s):  
Paul A. di Sant'Agnese ◽  
Charles Upton Lowe
Keyword(s):  
Cystic Fibrosis ◽  
Clinical Evidence ◽  
Clinical Effect ◽  
Single Gene ◽  
Pancreatic Insufficiency ◽  
Recessive Gene ◽  
The United States ◽  
Live Births ◽  
Almost All ◽  
Very High

IN THE COURSE of a review of all features of the disease, the following points were particularly noteworthy: Incidence This disease accounts for almost all cases of pancreatic insufficiency in children. The incidence in the population of the United States is between 1 in 600 and 1 in 10,000 live births, with a probable average incidence of 1 in 2,500. There is no sex predominance. There is, however, a difference in racial predilection, being rarely seen in the Negro and never in Mongolians. It is a familial disease, displaying the characteristics of a mendelian recessive gene. This means that in an affected family the disease may occur in approximately 25% of the offspring, that both parents must be carriers of the trait and that two-thirds of the non-affected children are also carriers. Birth order has no effect on the inheritance of this disease. The fact that it is usually a lethal disease indicates that the mutation rate for this gene must be very high; the frequency of the single gene in the population has been calculated to be approximately 1 in 50. Pancreatic Insufficiency Clinical evidence of poor digestion and absorption of protein and fat is seen in the increased quantities of these substances in the feces, which causes the feces to be bulky, foul smelling, foamy and greasy. Another clinical effect of malabsorption is seen in the failure of the newborn infant with cystic fibrosis of the pancreas to regain birth weight in the first 10 days of life. In the absence of other evidence of disease, this is a sign suggestive of pancreatic failure.

Introduction to Dietary Reference Intakes

2006 ◽  
Vol 31 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Susan I Barr
Keyword(s):  
Life Stage ◽  
Daily Intake ◽  
The United States ◽  
Reference Standards ◽  
Healthy Individuals ◽  
Gender Group ◽  
Dietary Reference Intakes ◽  
Intake Level ◽  
And Gender ◽  
Almost All

Dietary Reference Intakes (DRIs) are nutrient reference standards used for planning and assessing the diets of apparently healthy Canadians and Americans. The development of DRIs reflects a joint initiative by the United States and Canada to update, expand on, and replace the former Recommended Nutrient Intakes for Canadians and Recommended Dietary Allowances for Americans. DRIs include the Estimated Average Requirement (EAR), Recommended Dietary Allowance (RDA), Adequate Intake (AI), and Tolerable Upper Intake Level (UL). The EAR is the average daily intake level that meets the requirement of 50% of healthy individuals in a life stage and gender group, whereas the RDA is set at a level that will meet the requirements of almost all (97%-98%) individuals in that life stage and gender group. An AI is a recommended intake level that is thought to meet the needs of almost all healthy individuals, and is set when there are insufficient data to establish an EAR (and therefore an RDA). The UL represents a threshold above which adverse effects of excessive intake may increase. In addition to these DRIs, macro nutrients have an Acceptable Macro nutrient Distribution Range (AMDR) and, for energy, an Estimated Energy Requirement (EER) is described.Key words: nutrient reference standards, nutrient requirements, nutrient toxicity.

Hard Time

Affilia ◽  
2017 ◽  
Vol 33 (1) ◽  
pp. 126-138 ◽  
Author(s):  
Rachel C. Casey
Keyword(s):  
United States ◽  
Social Workers ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
The United States ◽  
Negative Effects ◽  
Complex Needs ◽  
Criminal Justice Reform ◽  
Hard Time ◽  
Personal Accounts

As the number of women incarcerated in the United States continues to rise and their complex needs become more apparent, social workers must fortify their historical commitment to criminal justice reform. However, crafting more effective and compassionate responses to the needs of justice-involved women may very well require a more nuanced understanding of the holistic impact of incarceration on women’s well-being than the current literature offers. Utilizing the framework of feminist standpoint epistemology, the researcher engaged in qualitative content analysis to examine published personal accounts from 43 women to better understand their experiences in prisons and jails in the United States. Two overarching themes emerged from the analysis. First, the personal accounts illustrated that women experience prisons and jails as environments of denial insofar as these carceral environments deny women’s basic needs, their sense of humanity, and their personal power. The second overarching theme pertains to the holistic impact of the carceral environment upon women’s lives, meaning it has expansive effects on women’s biopsychosocial–spiritual functioning. Social workers should dedicate efforts to dramatically reducing the number of women behind bars and engaging in holistic intervention approaches that might counteract the negative effects of incarceration across domains of well-being.

scholarly journals Bourdieu and Critical Autoethnography: Implications for Research, Writing, and Teaching

2017 ◽  
Vol 19 (1) ◽  
pp. 144 ◽  
Author(s):  
Deborah Reed-Danahay
Keyword(s):  
United States ◽  
Social Inequality ◽  
Personal Experience ◽  
Pierre Bourdieu ◽  
The United States ◽  
Research Writing ◽  
Life Trajectories ◽  
Critical Autoethnography

This article argues that by combining critical ethnographic and autoethnographic perspectives we can move beyond the insider/outsider dualism, better understand the ways in which stories of personal experience are “strategic,” and interrogate the broader contexts and processes of social inequality that shape life trajectories. The potential contributions to critical autoethnography of the reflexive approach of “self-analysis” advocated by Pierre Bourdieu are discussed. The author draws upon her uses of critical autoethnography in research (in France and the United States) and in teaching about immigration. 

Sign in / Sign up

Export Citation Format

Share Document