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Cheap amusements : a Hayden Fuller mystery
When a missing girl is found in a suitcase with two bullets behind her right ear, Hayden Fuller, former NHL hockey player turned private investigator work the case. Now, Hayden is working a similar case, a young woman, no ransom note, but clues pointing to a high school guidance counselor.
Book
Spiritual health practitioners’ contributions to psychedelic assisted therapy: A qualitative analysis
Psychedelic-assisted therapies hold early promise for treating multiple psychiatric conditions. However, absent standards for the care, teams providing psychedelic-assisted therapy pose a major roadblock to safe administration. Psychedelics often produce spiritually and existentially meaningful experiences, and spiritual health practitioners have been involved in administering psychedelic-assisted therapies in multiple settings, suggesting important qualifications for delivering these therapies. However, the roles and competencies of spiritual health practitioners in psychedelic-assisted therapies have not been described in research.
This study examined interviews with 15 spiritual health practitioners who have facilitated psychedelic-assisted therapy. Thematic analyses focused on their contributions, application of expertise and professional background, and roles in administering these therapies.
Seven themes emerged, comprising two domains: unique and general contributions. Unique contributions included: competency to work with spiritual material, awareness of power dynamics, familiarity with non-ordinary states of consciousness, holding space, and offer a counterbalance to biomedical perspectives. General contributions included use of generalizable therapeutic repertoire when conducting PAT, and contributing to interdisciplinary collaboration.
Spiritual health practitioners bring unique and specific expertise to psychedelic-assisted therapy based on their training and professional experience. They are skilled at interprofessional collaboration in a way that complements other clinical team members. Psychedelic-assisted therapy teams may benefit from including spiritual health practitioners. In order to ensure rigorous standards and quality care, further efforts to delineate the roles and necessary qualifications and training of spiritual health clinicians for psychedelic-assisted therapy are needed.
Journal Article
A randomized controlled trial of a compassion-centered spiritual health intervention to improve hospital inpatient outcomes
Inpatient medical settings lack evidence-based spiritually integrated interventions to address patient care needs within a pluralistic religious landscape. To address this gap, CCSH™ (Compassion-Centered Spiritual Health) was developed to leverage the skillsets of healthcare chaplains to improve patient outcomes through spiritual consultation. Here, we report the results of a randomized, wait-list controlled, pre-registered (NCT03529812) study that evaluated the impact of CCSH on patient-reported depression and explored putative mediators of CCSH's effects.
Chaplain residents were randomized to be trained in CCSH as part of their clinical pastoral education (CPE) residency in the fall (n = 8) or spring semester (n = 8). After fall training, all residents provided spiritual consultations with hospitalized patients (n = 119; n = 54 seen by CCSH-trained chaplains). Those not yet trained to deliver CCSH provided a traditional consult. Patients' pre-consult distress was measured using the National Comprehensive Cancer Network Distress Thermometer, and post-consult depression was measured using the Hospital Anxiety and Depression Scale (HADS). Consults were audio-recorded and transcribed verbatim, and we conducted linguistic analyses using LIWC 2015 software to quantify chaplain linguistic behavior.
Patients seen by CCSH-trained chaplains had lower post-consult depression scores (M = 4.10, SD = 5.04) than patients who were seen by wait-listed chaplains (M = 6.12, SD = 5.08), after adjusting for pre-consult distress (p = .048). There was also a significant relationship between post-consult depression and chaplain LIWC clout scores (r = -0.24, p = .017), a linguistic measure thought to reflect the expressive confidence and other-oriented focus of the speaker. An exploratory mediation model revealed an indirect effect of CCSH on patient depression through chaplain clout language b = -0.11 (90% CI, -.257, -.003).
These data suggest that CCSH decreases patient depression among inpatients, in part due to CCSH-trained chaplains' use of more inclusive, confident, and other-oriented language. We connect these findings with current understandings of effective clinical linguistic behavior and reflect on what this work may mean for integrated spiritual health care.
Journal Article
نقطة التحول الاستراتيجية الوطنية البريطانية ودور المملكة المتحدة في العالم مستقبلا
يتحدث هذا الكتاب عن نقطة التحول الاستراتيجية الوطنية البريطانية ودور المملكة المتحدة في العالم مستقبلا حيث تمر المملكة المتحدة حاليا بنقطة تحول استراتيجية والقضية التي تعد على المحك الآن هي إمكان أنها تريد المحافظة على مكانتها بوصفها قوة عالمية تتمتع بدور عالمي أو أنها ترغب في أن تصبح بلدا أوروبيا آخر ذا دور إقليمي فقط فطموح الحكومة المعلن يتفق مع الخيار الأول إلا أن قراراتها المتعلقة بسياستها الدفاعية والخارجية إنما تقود نحو الخيار الثاني.
Book
Policy Options to Support Climate-Conscious Urban Water Planning
Urban water systems are increasingly vulnerable to climate change. Traditional planning, often based on past conditions, fails to address these new challenges. We suggest policy options for integrating climate scenarios into urban water planning, which will enhance the resilience of drinking water, wastewater, and stormwater systems. The policy options are (1) requiring climate scenario analysis in planning processes, (2) developing climate-resilient infrastructure standards, (3) promoting low-impact development and nature-based solutions, (4) creating regional planning bodies, (5) educating professionals for climate-responsive planning, and (6) securing funding for climate adaptation. We discuss our experience in the state of Utah, USA, and summarize case studies in Copenhagen, New York, and Melbourne. The policy options align with Sustainable Development Goals and offer a roadmap for building adaptable, sustainable urban water systems.
Journal Article
Removal of Agrichemicals from Water Using Granular Activated Carbon Filtration
The objective was to evaluate removal efficacy of agrichemicals from water using a small-scale granular activated carbon (GAC) system. The GAC system consisted of a series of three 1.9- to 4.1-L filter canisters filled with 8 × 30 US mesh (595 to 2380 μm) bituminous coal GAC. In experiment 1, 11 agrichemicals (acephate, bifenthrin, chlorpyrifos, flurprimidol, glyphosate, hydrogen peroxide + peracetic acid, imidacloprid, paclobutrazol, didecyldimethylammonium chloride (DDAC), triclopyr, and uniconazole) used in greenhouse and nursery production were exposed to 0, 12, or 64 s of GAC contact time. Chemical concentrations were prepared at a 1:10 dilution of a recommended label rate for ornamental crops to represent a possible residual concentration found in recaptured irrigation or surface water. In experiment 2, three other chemicals [iron ethylene diamine-N,N′-bis(hydroxy phenyl acetic acid) (iron-EDDHA, a chelated iron fertilizer), soracid blue dye (a fertilizer dye), and sodium hypochlorite (a sanitizing agent)] were also tested with 0, 12, 38, or 64 s of GAC contact time. Agrichemical concentration was reduced with 12 s of GAC contact time compared with the 0 s for all chemicals tested, and in most cases was further increased at 64-s contact time. Chemicals reduced below their minimum detection limits with 64 s GAC included acephate, flurprimidol, paclobutrazol, uniconazole, peracetic acid, DDAC, and chlorine (free and total). Percent reduction for other chemicals with 64 s GAC was 72.2% for bifenthrin, 89% chlorphyrifos, 85.3% imidacloprid, 99% glyphosate, 99.4% triclopyr, 99.3% hydrogen peroxide, 47.6% iron-EDDHA, and 94.6% soracid blue dye. Iron-EDDHA and soracid blue dye could be used as indicator chemicals for onsite monitoring of GAC filter efficacy. Results indicate that GAC filtration can remove a wide range of agrichemical contaminants commonly used in greenhouse and nursery production, although the required contact time in commercial production is expected to be greater than in this research study.
Journal Article
Batman Knightquest : the search
\"Bruce Wayne is Batman no more. With Alfred at his side, Bruce begins a new quest to find Tim Drake's missing father and the only person that may be able to heal his broken body: Shondra Kinsolving. Continuing from Batman: Knightquest: The Crusade Vol. 2, the next chapter in the saga of Bruce Wayne begins in the never before collected, Batman: Knightquest: The Search. Still recovering from his devastating encounter with Bane, and utilizing specially designed accoutrements, Bruce Wayne and Alfred are on the trail of Robin's father and Shondra Kinsolving, both kidnapped by a mysterious new foe lurking in the shadows. Shondra may be the only person on Earth who can repair Bruce's badly damaged body. To rescue her, he will have to push himself mentally and physically before it is too late. Part of a massive 25th anniversary recut of the entire Batman: Knightfall saga.\"-- Provided by publisher.
Book
Inflammatory Bowel Diseases: Host-Microbial-Environmental Interactions in Dysbiosis
Crohn’s Disease (CD) and Ulcerative Colitis (UC) are world-wide health problems in which intestinal dysbiosis or adverse functional changes in the microbiome are causative or exacerbating factors. The reduced abundance and diversity of the microbiome may be a result of a lack of exposure to vital commensal microbes or overexposure to competitive pathobionts during early life. Alternatively, many commensal bacteria may not find a suitable intestinal niche or fail to proliferate or function in a protective/competitive manner if they do colonize. Bacteria express a range of factors, such as fimbriae, flagella, and secretory compounds that enable them to attach to the gut, modulate metabolism, and outcompete other species. However, the host also releases factors, such as secretory IgA, antimicrobial factors, hormones, and mucins, which can prevent or regulate bacterial interactions with the gut or disable the bacterium. The delicate balance between these competing host and bacteria factors dictates whether a bacterium can colonize, proliferate or function in the intestine. Impaired functioning of NOD2 in Paneth cells and disrupted colonic mucus production are exacerbating features of CD and UC, respectively, that contribute to dysbiosis. This review evaluates the roles of these and other the host, bacterial and environmental factors in inflammatory bowel diseases.
Journal Article