Successful Negotiations: A Phenomenological Study of the Lived Experiences of Superintendents Who Successfully Negotiate Teacher Contracts

New York State has a long history related to teachers’ unions. Superintendents are often the main players for school districts when negotiating teachers’ contracts. While much has been researched about negotiations, there is a gap in the literature in relation to the motivating factors of superintendents to successfully negotiate teachers’ contracts. The purpose of this transcendental phenomenological study was to describe the lived experiences of school superintendents who have successfully negotiated teachers’ contracts within suburban areas of New York State. The central research question was: What are the lived experiences of school superintendents who have successfully negotiated teachers’ contracts in public school districts in suburban New York? Sub-questions explored motivations, external factors, and internal or personal characteristics of the superintendents who have lived experience. The theories guiding this study included the negotiation theory (Zartman, 1978) and the self-determination theory (Deci & Ryan, 2000b). The methodology that was utilized was a transcendental phenomenological design that includes purposeful sampling of participants, data collection obtained through questionnaires, interviews, and document analysis for 11 participants. Data analysis utilized Moustakas’ (1994) prescribed procedures for constructing thematic portrayals of the lived experiences of the participants. When the data were analyzed, four themes emerged: negotiations processes, opportunities of negotiating, obstacles of negotiating, and effectuation of success. Results described the lived experiences of superintendents and how these experiences play a role in administration, with teachers’ unions and within the community

Improving Patient Satisfaction in a Hospital Foodservice System Using Low-Cost Interventions: Determining Whether a Room Service System is the Next Step

A survey was used to assess patient foodservice satisfaction at an acute care hospital. Results were then used to identify the lowest scoring areas of foodservice. Low-cost interventions were implemented to address the areas of needed improvement. Patient satisfaction was reassessed by re-issuing surveys. Group T-tests were used to compare the results of the baseline and follow-up surveys (

The impact of seasonal operating room closures on wait times for oral cancer surgery

Background Operating room slowdowns occur at specific intervals in the year as a cost-saving measure. We aim to investigate the impact of these slowdowns on the care of oral cavity cancer patients at a Canadian tertiary care centre. Methods A total of 585 oral cavity cancer patients seen between 1999 and 2015 at the London Health Science Centre (lhsc) Head and Neck Multidisciplinary Clinic were included in this study. Operating room hours and patient load from 2006 to 2014 were calculated. Our primary endpoint was the wait time from consultation to definitive surgery. Exposure variables were defined according to wait time intervals occurring during time periods with reduced operating room hours. Results Overall case volume rose significantly from 2006 to 2014 (p \u3c 0.001), while operating room hours remained stable (p = 0.555). Patient wait times for surgery increased from 16.3 days prior to 2003 to 25.5 days in 2015 (p = 0.008). Significant variability in operating room hours was observed by month, with lowest reported for July and August (p = 0.002). The greater the exposure to these months, the more likely patients were to wait longer than 28 days for surgery (odds ratio per day [or]: 1.07, 95% confidence interval [ci]: 1.05 to 1.10, p \u3c 0.001). Individuals seen in consultation preceding a month with below average operating room hours had a higher risk of disease recurrence and/or death (hazard ratio [hr]: 1.59, 95% ci: 1.10 to 2.30, p = 0.014). Conclusions Scheduled reductions in available operating room hours contribute to prolonged wait times and higher disease recurrence. Further work is needed to identify strategies maximizing efficient use of health care resources without negatively affecting patient outcomes

The Grizzly, October 4, 1985

Patterns for the Future Begin the Campaign • Rendell Enforces the Death Penalty • Ursinus: A Good Buy • Letters: Alpha Sigma Nu\u27s Pride Comes Through; WVOU Prints a Schedule • Editorial: How About a Little Help From Some Friends? • Homecoming 1957: Not so Different From Now • Alumni Search for Success: Holly Hayer • There was a Resume Workshop Seniors • Voices to be Performed at Ritter • Field Hockey Team: Leaving Teams in the Dust • Grizzlies Overcome a Ten Year Nemesis! • Cross Country Teams Survive Gloria • Homecoming Events Announced • Campus Security Noteshttps://digitalcommons.ursinus.edu/grizzlynews/1146/thumbnail.jp

The Grizzly, February 21, 1986

It\u27s Bid Day!: Three Weeks of Frat Pledging get Underway • Suite Living in Reimert • Unique Paper Sculptures get Positive Reactions • Intra-Mural Season Opens • Demerits, Profanity, Attack on Deans Mark Alcohol Policing in the Past • Disease, Dissent, Dissemblance: Mills of Bureaucracy Grind Exceeding Slow, But Grind Old Folks Exceeding Fine • U.C. Hosts MAC Wrestling Tourney • Men\u27s Track: Strong MAC Lineup • Gym Women get Trimmed • Missing Refs, Fan Riot: The Best Game Ever ? • SAC Funds Available • Women\u27s Studies Surveyhttps://digitalcommons.ursinus.edu/grizzlynews/1158/thumbnail.jp

The Grizzly, October 25, 1985

Registration has Come Upon Us • RA Supervision Allows Reimert\u27s Co-ed Transition • Siblings Sharing the Same Experience • One Hundred Years of Tradition Passes With Fretz • Prof. Profile: Armstrong Balances his own Studies With Students\u27 Studies • In Search of Success: Lehman Leans Towards Stockbroker • Letters: What is That Eye Material?; Walter Still Upset; Music Comes to UC • Scram Leaves its Name in Reimert History • Concert Review: Bon Jovi and Ratt Draw a Crowd of Leather • Wanted: Attempted Murder • Bears Fall to Fifth Ranked Gettysburg • Annual Snell Game Ends in a Tie • Booters Win a Big One Over Haverford Squad • Mers Ready to Plunge Into Season • New Course at U.C.: Human Sexuality • Richter Named as Chairman • How to Handle the Effects of Harmful Stress • Roving Reporter: Do You Think Fraternities and Sororities are a Positive Aspect of Campus Life?https://digitalcommons.ursinus.edu/grizzlynews/1149/thumbnail.jp

The Grizzly, March 25, 1986

The Day U.C. Shut Down • R.A. Selections Underway • Suggestions Being Taken for Forum Topics • Letter: Proud Parents Commend U.C.\u27s Talent • Learn to Swim • New Course for Lifeguards • BreMiller\u27s Diversified Interests • What are You Doing After Graduation? • Matthews an NEH Grant Recipient • Briefs: USGA Represented at Leadership Conference; Ray Bunt Honored at Luncheon; Science Fair in Helfferich; Senior Symposium Topics; Women\u27s Track • Men\u27s Lacrosse Club Starts New Season • Bears Even Record • Lady Bears Look to Win it all • Women\u27s Lacrosse to Begin • Gymnasts Deserted by Coach Morrison • A Reminiscent Backflip • Woody\u27s Hannah a Hit • Equipment Donatedhttps://digitalcommons.ursinus.edu/grizzlynews/1161/thumbnail.jp

Surgical Explantation of Transcatheter Aortic Valve Bioprostheses: A Statewide Experience

BACKGROUND: Despite the rapid adoption of transcatheter aortic valve replacement (TAVR) since its initial approval in 2011, the frequency and outcomes of surgical explantation of TAVR devices (TAVR-explant) is poorly understood. METHODS: Patients undergoing TAVR-explant between January 2012 and June 2020 at 33 hospitals in Michigan were identified in the Society of Thoracic Surgeons Database and linked to index TAVR data from the Transcatheter Valve Therapy Registry through a statewide quality collaborative. The primary outcome was operative mortality. Indications for TAVR-explant, contraindications to redo TAVR, operative data, and outcomes were collected from Society of Thoracic Surgeons and Transcatheter Valve Therapy databases. Baseline Society of Thoracic Surgeons Predicted Risk of Mortality was compared between index TAVR and TAVR-explant. RESULTS: Twenty-four surgeons at 12 hospitals performed TAVR-explants in 46 patients (median age, 73). The frequency of TAVR-explant was 0.4%, and the number of explants increased annually. Median time to TAVR-explant was 139 days and among known device types explanted, most were self-expanding valves (29/41, 71%). Common indications for TAVR-explant were procedure-related failure (35%), paravalvular leak (28%), and need for other cardiac surgery (26%). Contraindications to redo TAVR included need for other cardiac surgery (28%), unsuitable noncoronary anatomy (13%), coronary obstruction (11%), and endocarditis (11%). Overall, 65% (30/46) of patients underwent concomitant procedures, including aortic repair/replacement in 33% (n=15), mitral surgery in 22% (n=10), and coronary artery bypass grafting in 16% (n=7). The median Society of Thoracic Surgeons Predicted Risk of Mortality was 4.2% at index TAVR and 9.3% at TAVR-explant (P=0.001). Operative mortality was 20% (9/46) and 76% (35/46) of patients had in-hospital complications. Of patients alive at discharge, 37% (17/37) were discharged home and overall 3-month survival was 73±14%. CONCLUSIONS: TAVR-explant is rare but increasing, and its clinical impact is substantial. As the utilization of TAVR expands into younger and lower-risk patients, providers should consider the potential for future TAVR-explant during selection of an initial valve strategy

Recycled nitrogen in lactating dairy cows fed high and low grain diets.

Recycled N used by rumen bacteria and reaching the small intestine was studied in 4 duodenally cannuled lactating cows fed diets of 2:1 (C) and 1:2 (F) concentrate to forage