Moral Injury, Traumatic Stress, and Threats to Core Human Needs in Health-Care Workers: The COVID-19 Pandemic as a Dehumanizing Experience

The pandemic has threatened core human needs. The pandemic provides a context to study psychological injury as it relates to unmet basic human needs and traumatic stressors, including moral incongruence. We surveyed 1,122 health-care workers from across the United States between May 2020 and August 2020. Using a mixed-methods design, we examined moral injury and unmet basic human needs in relation to traumatic stress and suicidality. Nearly one third of respondents reported elevated symptoms of psychological trauma, and the prevalence of suicidal ideation among health-care workers in our sample was roughly 3 times higher than in the general population. Moral injury and loneliness predict greater symptoms of traumatic stress and suicidality. We conclude that dehumanization is a driving force behind the psychological injury resulting from moral incongruence in the context of the pandemic. The pandemic most frequently threatened basic human motivations at the foundational level of safety and security relative to other higher order needs.

The Effect of Landscape Features Implemented in Egyptian Parks on Satisfying the Human Needs and Well-being

Recently, parks have been recognized as one of the main contributors in the strategic objectives of urban projects, since they provide job opportunities, place attractiveness, increase the real estate market and property values, tourist development, increase the since of social belonging between the residents, improving the public health and the quality of the residents’ life. The presented research is aiming to investigate the effect of Landscape features on the quality of life (QOL) inside Egyptian parks. This study has been inspired by early theorists like “Maslow” and other theorists who have followed Maslow’s footsteps. They analysed and measured the concept of quality of life (QOL)into two well-known terms “human needs” and “well-being”. The study explores the impact of landscape features towards “human needs and well-being”. Lately, Egypt is suffering from inflation and economic crisis which affect the Egyptians life style. Most of the Egyptian society is living a stressful life; this study will examine whether the Egyptian parks help Egyptians as an escape way where all the negative vibes are going to meet with nature resulting in a positive outcome. This research used qualitative investigation method to measure the impact of implementing landscape features in Egyptian parks on enhancing the quality of the Egyptian life by measuring the (QOL) with regards to “human needs and well-being”. The presented research investigated the impact of landscape elements implemented in Al-Azhar Park and Family Park on “human needs and well-being”. That shall pave the way to investors, policymakers, architecture and civil practitioners to realize the potentials of designing and constructing parks in Egyptian urban environment, as an efficient tool to improve the quality of Egyptian life.

Hydrological response of hydrographic sub-basins in the Piracicaba River Basin - Southeast Region of Brazil

Use of water for several human needs, associated with climate change, indicates the need understand the response of watersheds, in order to provide adequate water resources planning and management. This study was carried out in two pairs of hydrographic watersheds, in the Piracicaba River Basin, southeast of Brazil, analyzing water response, integrating in-situ collected precipitation and flow data, natural environment attributes, and anthropic environmental data. To support the analysis, Surface Runoff Potential Charts (SRPC). The evaluation of the physical characteristics of the sub watersheds (SW(A) and SW(B)) shows that these areas present very low to low potential, indicating greater infiltration capacity. The use and coverage of the soil partially justifies the flow changes in pair 1, since SW(A) has a larger extent of agricultural areas that can use irrigation. SW(B), even with a greater variety of crops, has a smaller cultivated area and tends to demand less water. At pair 2, the low runoff potential is mainly due to the predominance of flat relief in the sub-basins. The soils that compose them present a higher fraction of silt and clay, with thicknesses > 5m in SW(C) and varying from 0.5m, reaching depths above 5m in SW(D), however, the physical properties of these soils do not provide a low flow rate, but associated with the low slope of the land, the geological characteristics and low drainage density are configured in regions where the flow flows more slowly, contributing to the evaporation and infiltration process. The use and coverage of the soil also partially justifies the flow oscillations, due to anthropic activities in SW(C) and SW(D), such as irrigation and spraying of citrus, fertirrigation of sugarcane, irrigation of seedling nurseries, directly interfering with the availability of surface water.

Necessidades humanas básicas e sociais na assistência de enfermagem a pessoa atendida em Unidades de Tratamento ao Queimado: um estudo integrativo

Objective: To identify the empirical indicators of basic and social human needs found in nursing care for people treated in Burn Treatment Units. Materials and Method: Descriptive, cross-sectional and exploratory study of the integrative literature review type. After applying inclusion and exclusion criteria, 16 of the 265 articles identified made up the sample. The data collected were inserted in spreadsheets for descriptive statistical analysis and inferences, analyzed using the Microsoft Office Excel 2010 program and the Statistical Package for the Social Sciences (SPSS) version 20.0 software. The distribution of empirical indicators was carried out, which were later discussed based on scientific productions in the area.Results: The search resulted in the identification of 113 empirical indicators, 89 corresponding to psychobiological needs, 21 to psychosocial needs and 03 to psycho-spiritual needs. The needs that most presented empirical indicators were Need for Vascular Regulation (n=18) and Need for Oxygenation (n=16). However, the Need for Emotional Security showed more frequent indicators.Conclusion: The burn, in addition to affecting physical integrity, also affects emotional aspects, contributing to changes in mental integrity. The existence of few studies with the theme highlights the need for scientific production related to the theme, in order to contribute to human and holistic nursing practice. Objetivo: Identificar los indicadores empíricos de las necesidades humanas básicas y sociales que se encuentran en la atención de enfermería a las personas tratadas en las Unidades de Tratamiento de Quemaduras.Materiales y Método: Estudio descriptivo, transversal y exploratorio del tipo revisión integradora de literatura. Se identificaron 265 artículos, seleccionándose, tras el uso de los criterios de inclusión y exclusión, 16 estudios. Los datos recogidos se ingresaron en hojas de trabajo para el análisis estadístico descriptivo y de inferencia, analizándolos utilizando Microsoft Office Excel 2010 y el software Statistical Package for the Social Sciences (SPSS) versión 20.0. La distribución de indicadores empíricos se realizó, los cuales se discutieron basándose en producciones científicas en el área.Resultados: La búsqueda resultó en la identificación de 113 indicadores empíricos en total, 89 correspondientes a necesidades psicobiológicas, 21 a necesidades psicosociales y 03 a necesidades psico-espirituales. Las necesidades que más presentaron indicadores empíricos fueron Necesidad de regulación vascular (n=18) y Necesidad de oxigenación (n=16). Sin embargo, la necesidad de seguridad emocional mostró indicadores más frecuentes.Conclusión: Se encontró que la quemadura, además de afectar la integridad física, también afecta los aspectos emocionales, contribuyendo a los cambios en la integridad mental. La existencia de pocos estudios con el tema resalta la necesidad de producción científica relacionada con el tema, con el fin de contribuir a la práctica de la enfermería humana y holística. Objetivo: Identificar os indicadores empíricos das necessidades humanas básicas e sociais encontrados na assistência de enfermagem à pessoa atendida em Unidades de Tratamento ao Queimado. Materiais e Método: Estudo descritivo, transversal e exploratório do tipo revisão integrativa da literatura. Foram identificados 265 artigos, que após os critérios de inclusão e exclusão, 16 estudos compuseram a amostra. Os dados coletados foram inseridos em planilhas para análises estatísticas descritivas e inferências, analisados utilizando o programa Microsoft Office Excel 2010 e o software Statistical Package for Social Sciences (SPSS) versão 20.0. Foi realizada a distribuição dos indicadores empíricos e, posteriormente, discutidos a partir de produções científicas da área. Resultados: A busca resultou na identificação de 113 indicadores empíricos no total, sendo 89 correspondendo às necessidades psicobiológicas, 21 às necessidades psicossociais e 03, às necessidades psicoespirituais. As necessidades que mais apresentaram indicadores empíricos foram Necessidade de Regulação Vascular (n=18) e Necessidade de Oxigenação (n=16). No entanto, a Necessidade de Segurança Emocional apresentou indicadores mais frequentes. Conclusão: Constatou-se que a queimadura além de afetar a integridade física atinge, também, aspectos emocionais, contribuindo para alterações da sua integridade mental. A existência de poucos estudos com a temática evidencia a necessidade da produção científica relacionada ao tema, a fim de contribuir para a prática humana e holística de enfermagem.

Development and testing of a light dimming control using arduino uno

Increasing population and human needs have an impact on increasing the need for electrical energy. One of them is for lighting needs. Therefore, it is necessary to save the lighting system so that energy consumption is minimum and the need for lighting is optimal, by controlling light dimming. This paper presents an implementation and testing of a dimming light control using an Arduino Uno microcontroller. The circuit used a 12-volt power supply, as a voltage source, to increase to 42 volts, to meet a lamp voltage, through a dc-dc converter. After obtaining the maximum voltage, a MOSFET cut off the voltage according to the desired light or performance level. The duty cycle was directly proportional to the output voltage, using a PWM coding to get the necessary light intensity. Some testing was conducted, including the measurement point shifting to the side. The testing results show that PMW and LDR decreased as the duty cycle increased. Nevertheless, both decreasing are different, the PWM decreased linearly with a gradient of -2.55 and the LDR decreased hyperbolically. While, the illuminance, current, and power rose as the duty cycle increased. The illuminance increased, tent to be saturated, as the power increased. However, the illuminance was reduced as the PWM and LDR increased. The illuminance decreased slightly as the measurement points shifted to the side.

Environmental Protection and Quality of Life

Development of environmental protection together with economic and social development can be considered sustainable only if they support individual quality of life. Conceptually, quality of life is closely related to sustainable development, since sustainability implies a balance between environmental, social, and economic qualities. Environmental quality is reflected in its ability to meet the basic human needs. Quality of life is a complex and multi-dimensional construct that warrants multiple approaches from different theoretical perspectives. Evaluation of the quality of life determined by the environment can be facilitated using objective and subjective measurements. Regardless of how these two indicators are classified, both are considered equally beneficial and valuable for research. Considering all the above mentioned, the aim of this chapter is to shed light on the importance of environmental protection for the quality of life, as well as the necessity to measure quality of life determined by environmental factors in order to adequately manage them.

From Crisis to Vision

Higher education now faces the critical role of partnerships, linkage, and strategic joint ventures to achieve shared goals in a transformed external environment. This environment is itself shaped not only by the pressures of neo-liberal competition, but by a set of crises emerging from the contradictions that is producing greater levels of inequity and social division. It is in this context that the chapter evaluates the importance of global learning as a critical tool to understand, engage with, and potentially transform a globalized socio-economic environment and engage proactively with existing multiple crises. Academics and educators are now intimately connected to the need to articulate and demonstrate globalized learning models and reflective practice founded on explicitly international perspectives. Given the urgency, internationalization alone is insufficient to achieve transformation. A re-appropriation of purpose and values is also required within an emancipatory and social justice model that asserts human needs, not corporate efficiency.

Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period

Objective: To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty. Method: Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis. Results: The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified. Conclusion: The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.