No description available.

No description available.

I researched the history of emotional trauma and its portrayal in modern media and Shakespearean plays and created a film based on my personal experience with the topic. This film utilizes Shakespearean song and monologue from Hamlet and Macbeth to narrate the inner journey of a girl working through emotional trauma. We follow her as she feels the impact of her trauma in her body and as she tries to hide it from her friends and maintain a normal facade. This film does contain a fictionalized portrayal of an anxiety attack, so viewer discretion is advised. This project does not claim to be a comprehensive and complete narrative for anyone dealing with emotional trauma: it is a deeply personal experience and affects every person differently. I drew inspiration from my own struggles with emotional trauma for this film and the reflection of my experience that I found in these Shakespearean monologues.

Medical Social Workers are placed in fast pace environments with little time to process their feelings after being exposed to their client’s traumatic stories. The study assessed the implications of vicarious trauma on medical social workers and its impact on client outcomes. The current study utilizes a sample of 20 medical social workers employed in hospital settings across San Bernardino County. Social Work personnel were asked to take The Secondary Traumatic Stress Scale, which measurements are most congruent to the DSM-5 criteria of Secondary Traumatic Stress. To assess the relationship between Secondary Trauma and demographic characteristics of the social worker, an ANOVA and Post-Hoc test were conducted on SPSS to analyze data. This study will assist social workers in recognizing implications to their vicarious trauma and seek intervention before it manifests into their patient relationship. Policies that require social workers to be evaluated for vicarious traumatization would be advantageous and decrease turnover rates among medical social work.

The purpose of this study was to provide an exploration of the experiences and perceptions of law enforcement officers who responded to the December 2nd, 2015 San Bernardino Attacks, specifically addressing what interventions and factors they found helpful in promoting their well-being following the attack. To do this, eight semi-structured interviews were held with officers who either were involved in the scene at the Inland Regional Center or were involved in the shoot-out with the attackers later that day. From these interviews several themes emerged, including: the importance of social support, critique of department responses, unique characteristics of law enforcement culture, and stigma against seeking mental health treatment among law enforcement officers. Recommendations based on these findings for social work practice, law enforcement departments, and further research were discussed.

The poems in this collection are in search of. They are digging through the debris of memory, of memory blurred by trauma or degraded by time or worn thin from retrieval, from repeated examination—an ongoing attempt to apprehend. They are poems of internalized violence, addiction, domestic upheaval, sexual abuse, assault, abandonment, separation. They are also poems of adoption, of the overlap between stories, of roots and more roots, of tangled histories, of the point of rupture being the point of origination. As such, they are unsure of how to proceed, how to present themselves: they are self-conscious poems, anxious to communicate yet at times unable to break free of their own spiraling repetitions: the ritualized performance of pain as both an attempt to speak back to suffering as well as unintended proliferation of such. Compulsion. Depression. Suicidal ideation. Of course what we are talking about is the longevity of grief, its many mutations. How we learn to recognize it for what it is. What we can do with it.

Introduction. L’objectif de cette étude est de déterminer la réponse mécanique du colon en traction uniaxiale jusqu’à la rupture et quels sont les facteurs la modifiant.Matériel et méthodes Nous avons réalisé des essais dynamiques uniaxiaux de spécimens coliques humains. Trois vitesses de sollicitation étaient testées : dynamique (1m/s), intermédiaire (10cm/s) et quasi-statique (1cm/s).Résultats Vingt-huit colons humains réfrigérés ont été testés avec un total de 344 spécimens. Le colon présente un comportement mécanique bicouche. Le comportement mécanique est variable en fonction de la localisation sur le cadre colique. Le sexe représente également un facteur responsable d’une modification de la réponse mécanique du colon. La durée de conservation des corps et le tænia coli ne représentaient pas un facteur influençant le comportement mécanique dynamique du colon.La réponse mécanique enregistrée est différente en fonction de l’orientation de la sollicitation : les niveaux de contrainte et de déformation étaient plus élevés sous sollicitation transversale.La vitesse de sollicitation modifie la réponse mécanique enregistrée avec des niveaux de rupture plus faibles sous sollicitation dynamique.Le type de conservation modifie la déformation et la force nécessaires pour obtenir des lésions coliques.ConclusionLe colon se comporte comme un matériau viscoélastique ductile et bicouche. Son comportement mécanique est dépendant de la localisation sur le cadre colique, du sexe, des méthodes de conservation et des vitesses de sollicitation. Cette étude permettra l’intégration de données biomécaniques dans des modèles de traumatologie virtuelle ou de simulation chirurgicale. / IntroductionThe objective of this study is to determine the mechanical response of the colon in uniaxial traction until rupture and what are the modifying factors.Material and methodsWe performed uniaxial dynamic tests of human colonic specimens. Three loading speeds were tested: dynamic (1m/s), intermediate (10cm/s) and static (1cm/s).ResultsTwenty-eight refrigerated human colons were tested with a total of 344 specimens. The colon exhibits a bi-layered mechanical behavior.The mechanical behavior is variable according to the localization on the colonic frame with a more elastic behavior of the right colon and the sigmoid colon. Gender is also a factor responsible for a change in the mechanical response of the colon. The shelf life of the body and tænia coli were not a factor influencing the mechanical behavior of the colon under dynamic solicitation.The recorded mechanical response is different depending on the orientation of the stress: the stress and strain levels were higher under circumferential stress.The loading speed changes the recorded mechanical response. The colon is more elastic in a quasi-static situation and has lower levels of rupture under dynamic stress. Under dynamic loading, the type of preservation does not modify the stiffness of the tissue but modifies the stress and strain necessary to obtain colonic lesions.ConclusionThe colon behaves like a ductile and bilayer viscoelastic material. Its mechanical behavior is dependent on the location on the colonic frame, gender, methods of conservation and rates of solicitation. This study will allow the integration of biomechanical data into models of virtual trauma or surgical simulation.

acase@tulane.edu / The current study examined the impact of a professional development training in trauma-informed approaches on teacher attitudes. The current study had two main purposes: first, to determine whether two components of attitudes, perception of the problem and self-efficacy, became more trauma-informed among teachers following a professional development training; and second, to investigate whether that change in attitudes was linked to initial levels of familiarity with trauma-informed approaches and/or years of experience. Teachers from 6 schools that are part of the New Orleans Trauma-Informed Schools Learning Collaborative participated in the study (N = 163; 68.7% female, 58.9% White). Teachers filled out demographic information and completed the ARTIC scale (Baker, Brown, Wilcox, Overstreet & Arora, 2015) both before and after training. A paired-samples t-test revealed that perception of a problem and self-efficacy among teachers did become significantly more aligned with trauma-informed approaches following the training. However, contrary to the hypothesis, familiarity and years of experience did not moderate perception of a problem or self-efficacy. Regardless, these results have important implications for the trauma-informed schools movement as they show that PD trainings can positively impact teacher attitudes, potentially increasing teacher motivation to carry out trauma-informed practices in the classroom. / 1 / Juliana Vanderburg

1. Introduction Injury is the fifth leading cause of mortality and morbidity among adults in Iowa. Work-related, or occupational injuries, constitute a substantial proportion of the injury burden in the US. The Bureau of Labor Statistics reports about 4.9 million occupational injuries annually in the US and over 50,000 injuries in Iowa. The aims of this study were to assess: 1) the burden of work-related injuries using an algorithm based on analysis of the external cause of injury (i.e., E-codes) combined with injury registry variables; 2) the magnitude of disability following an occupational injury by assessing Disability Adjusted Life Years and Discharge to Long Term Care; and 3) the burden of short-term disability one year after discharge from a Level I trauma center. 2. Methods/Approach This research consisted of two observational studies of Iowa cases, ages 18-64, reported to the Iowa State Trauma Registry (STR) from January 1st 2007 to December 31st 2010. A retrospective cohort design was used to assess differences in mortality, length of stays, discharge disposition, disability risk and Disability-Adjusted Life Years (DALYs), and their associated risk factors, such as demographic characteristics, nature and severity of injury, pre-hospital and in hospital trauma care (i.e. transport, resuscitation, vascular and airway access, sedative and paralytic drug usage). A prospective follow-up study a cohort of cases discharged from the University of Iowa Resource Trauma Center was used to assess risk factors associated with short-term disabilities one year after discharge. The EuroQol-5 Dimension Questionnaire (EQ-5D) was mailed to the cohort cases, alive one year after discharge, to assess their overall health status and quality of life. The algorithm classified the study population into occupational, “Work-Likely” (WL), and non-work cases. Work-likely was defined based on work-related activities without pay, informal status or self-employed. The registry cases were matched to 2007-2011 death certificates to identify those who died after discharge and to estimate their survival time. Machine learning methods – logistic regression and 10-fold cross validation were used to validate the algorithm. The survival time from injury to death was assessed using Kaplan Meier and Cox regression modeling. The Generalized Linear Modeling, including multinomial regression, was used to analyze the mean length of stay, the risk of discharge to long term care, DALYs and disability risk. 3. Results From 2007 to 2010, there were individuals (ages 18-64) admitted (average 5,614 per year) as trauma cases to hospitals in Iowa. Based on the algorithm, 3,115 (14.0%) were classified as occupational, 847 (3.8%) as WL, and 18,454 (82.2%) were classified as non-work cases. There were notable differences in demographics, farm exposure, and rural residence. The 10-fold cross validation showed a 20% misclassification rate for occupational and 30% for WL. The area under the curve (AUC) of the receiver-operating characteristics (ROC) was measured at 0.66, which is indicative of poor discriminating effect. Overall, occupational and WL cases had better outcomes than non-work cases; they had lower mean lengths of stay and better survival rates, as detected by Kaplan-Meier and Cox regression models. WL had lower survival rates on the Kaplan Meier estimates but the Cox regression contrast statement didn't find any difference in survival between occupational and WL 30 days and one year after discharge. Multinomial regression showed major differences in the risk of discharge to long-term care (LTC) or acute care compared to discharge home between occupational, WL, and non-work cases WL cases had less risk of being discharged to LTC compared to non-work cases. There were no differences observed between occupational and non-work cases. When stratified by occupational status, the predictors of being discharged to Long term care or acute care were different for occupational, WL and non-work cases. For WL, care in Level I&II , injury type, triage mechanism, first ER systolic blood pressure were no longer good predictors of discharge to LTC compared to occupational or non-work cases. Mean DALYs were lower in the occupational (mean= 4.8; 95% CI: 4.7-4.8) and WL (mean 4.4; 95% CI: 4.4-4.7) cases than the non-work cases (mean= 5.2; 95% CI: 5.1-5.2). However, when all other risk factors were accounted for, the occupational cases had a 10% reduction in mean DALYs, and WL a 20% reduction in DALYs compared to non-work cases. When the disability was assessed separately by occupational status, the risk factors associated with disability were completely different. For WL cases, only injury location and ISS were significantly associated with DALYs. Conversely for occupational and non-work cases, injury type, coma, pre-hospital management (i.e. airway, paralytic drugs), and cause of injury were significantly associated with DALYs. The one-year follow-up questionnaire administered to 156 trauma survivors resulted in 72 (46%) valid responses. Of those who responded, 58 (81%) were occupational and 14 (19%) WL cases. Overall, from the EQ-5Dresults, 46% of the respondents reported a disability. There were no major differences in the prevalence of disability between occupational and WL injury cases. However, occupational injury cases were more likely to receive rehabilitation services. 4. Conclusions This study demonstrated the utility of using trauma registry data in epidemiologic research to study occupational injury using a unique algorithm to include informal or self-employed workers. It identified a neglected group of workers subject to occupational injury and subsequent disability.

This dissertation problematizes the ways in which the experiences of the survivors of the "comfort system," the Japanese military's Asia Pacific War/World War II system of sexual slavery, have been articulated and narrativized, with particular attention to texts by and about the Filipino comfort system survivors, or "Lolas." The juridical contexts in which the former comfort women have so frequently been asked to speak of their experiences have resulted in a paradigmatic comfort women narrative, one that is inherently problematic, despite having proven expedient and politically useful in the short term for generating public interest and support for the cause. This juridical unconscious, whose influence extends to extrajudicial contexts, has reduced the survivors' stories to spectacles of broken, violated bodies, and the survivors themselves to figures of eternal victimhood--representations that ultimately replicate the sexist, racist, and imperialist attitudes that led to the institutionalization of sexual violence during that war. I argue, however, that the comfort women's stories resist total containment; outside the paradigm of redress these narratives are rich sites of knowledge and remembrance whose meanings extend beyond the pursuit of reparations and the promise of closure. This is evident in the texts I examine here, texts by and about Filipinas, whose specific experiences of military sexual enslavement have often been overlooked in international public discourses on the comfort women issue. In the autobiographies Comfort Woman: Slave of Destiny, by Maria Rosa Henson, and The Hidden Battle of Leyte: The Picture Diary of a Girl Taken by the Japanese Military, by Remedios Felias, the survivors/authors flesh out the familial, cultural, and political contexts that inflected their sexual enslavement during the Japanese occupation of the Philippines. Both authors also employ multiple languages, including the visual, as they chip away at the limitations of the paradigmatic narrative, re-membering their traumatic pasts and reconstructing socially legitimate identities. In the aftermath of a different kind of wartime sexual violence, the Lolas of Women of Mapanique: Untold Crimes of War, by Nena Gajudo, Gina Alunan, and Susan Macabuag, adopt and adapt the rhetoric of the comfort women redress movement in order to make their own voices heard. In so doing, they reveal difficult truths about the limits of our ability to comprehend and act upon sexual violence against men during wartime. Finally, I discuss three poems: Ruth Elynia S. Mabanglo's "Balada ni Lola Amonita" ("The Ballad of Lola Amonita"), Joi Barrios' "Inasawa ng Hapon" ("Taken to Wife"), and Bino A. Realuyo's "Pantoum: Comfort Woman." I find that by drawing upon the signs, symbols, and rituals of precolonial indigenous and religious Filipino culture, and by superimposing the metaphorical landscape of memory onto the literal landscape of the archipelago, these poems can offer what the paradigmatic comfort women cannot. The opportunity to break out of our voyeuristic consumption of trauma and share cultural space with the victims and survivors, and the chance to see the Lolas' collective experience as an indelible part the nation's past, present, and future.