Emancipatory and Controlling: Examining the Negotiation of Masculinity-Centered Practices by Women\u27s and Gender Equity Center Practitioners

Initiatives to understand and transform masculinity have increasingly emerged in higher education, calling attention to the consequences of dominant, masculine gender expectations that permeate throughout college campuses. These masculinity-centered practices in higher education encompass formalized, departmental initiatives for students, faculty, and/or staff that examine topics related to masculinity through educational workshops, speaker events, professional development sessions, dialogue spaces, and other efforts. While it is often assumed that these practices support the advancement of gender equity, scholars have theorized the ways in which this work can also lead to depoliticized efforts that may, in fact, reify patriarchal and other systems of domination. To analyze these tensions in practice, this dissertation study centered the perspectives of women\u27s and gender equity center (WGEC) practitioners who engage masculinity-centered practices utilizing feminist and other critical frameworks. Through an interpretive, phenomenological research design, this study closely examined the lived experiences of 12 current and former WGEC practitioners as they negotiated the liberatory possibilities, limitations, and complexities of examining masculinity as part of their feminist-oriented praxis. An analysis of the findings revealed critical insights for developing more equitable approaches for masculinity-centered practices in higher education

Lactation Support on Low-Income Women Exclusively Breastfeeding

Low-socioeconomic-status new mothers who wish to exclusively breastfeed, face significant challenges associated with available resources, finances, and maternal leave. To address this issue, the authors explored the following evidence-based PICOT question: among low-socioeconomic-status new mothers that breastfeed, does access to lactation supports in the workplace, compared to no or limited access, affect their ability to exclusively breastfeed for the baby’s first six months? This project conducted a search of the literature in CINAHL and PubMed databases using the terms breastfeeding, low-socioeconomic-status, and workplace lactational support. Inclusion criteria included peer-reviewed articles published between 2017 to present, containing keywords/phrases used in the search. Articles that did not discuss lactation support for low-socioeconomic-status breastfeeding women were excluded. Longer maternity leave is associated with increased breastfeeding duration. The literature highlights for working new mothers, lactation support in the workplace includes breastfeeding breaks, flexible work arrangements, private spaces, and facilities for expressing breast milk (Dinour & Szaro, 2017). For women of low-socioeconomic status an extended maternity leave may not be feasible, presenting women with challenges to exclusively breastfeed for the first six months. Additionally, research indicates that for women returning to work, workplace lactational supports are needed to improve the duration of exclusive breastfeeding. Low-income mothers are significantly less likely to have access to extended maternity leave, and lack necessary accommodations within the workplace, including break time and/or a private space to express breast milk. When workplace lactation is supported there is a positive influence on exclusive breastfeeding for 6 months

Transitioning from acute to primary health care nursing: an integrative review of the literature

Aims and objectives This paper seeks to explore the transition experiences of acute care nurses entering employment in primary health care settings. Background Internationally the provision of care in primary health care settings is increasing. Nurses are moving from acute care settings to meet the growing demand for a primary health care workforce. While there is significant research relating to new graduate transition experiences, little is known about the transition experience from acute care into primary health care employment. Design An integrative review, guided by Whittemore and Knafl\u27s (2005) approach, was undertaken. Following a systematic literature search eight studies met the inclusion criteria. Methods Papers which met the study criteria were identified and assessed against the inclusion and exclusion criteria. Papers were then subjected to methodological quality appraisal. Thematic analysis was undertaken to identify key themes within the data. Results Eight papers met the selection criteria. All described nurses transitioning to either community or home nursing settings. Three themes were identified: (1) a conceptual understanding of transition, (2) role losses and gains and (3) barriers and enablers. Conclusion There is a lack of research specifically exploring the transitioning of acute care nurses to primary health care settings. To better understand this process, and to support the growth of the primary health care workforce there is an urgent need for further well-designed research. Relevance to clinical practice There is an increasing demand for the employment of nurses in primary health care settings. To recruit experienced nurses it is logical that many nurses will transition into primary health care from employment in the acute sector. To optimise retention and enhance the transition experience of these nurses it is important to understand the transition experience

The Impact of Gamma Radiation on Sediment Microbial Processes

Microbial communities have the potential to control the biogeochemical fate of some radionuclides in contaminated land scenarios or in the vicinity of a geological repository for radioactive waste. However, there have been few studies of ionizing radiation effects on microbial communities in sediment systems. Here, acetate and lactate amended sediment microcosms irradiated with gamma radiation at 0.5 or 30 Gy h(−1) for 8 weeks all displayed NO(3)(−) and Fe(III) reduction, although the rate of Fe(III) reduction was decreased in 30-Gy h(−1) treatments. These systems were dominated by fermentation processes. Pyrosequencing indicated that the 30-Gy h(−1) treatment resulted in a community dominated by two Clostridial species. In systems containing no added electron donor, irradiation at either dose rate did not restrict NO(3)(−), Fe(III), or SO(4)(2−) reduction. Rather, Fe(III) reduction was stimulated in the 0.5-Gy h(−1)-treated systems. In irradiated systems, there was a relative increase in the proportion of bacteria capable of Fe(III) reduction, with Geothrix fermentans and Geobacter sp. identified in the 0.5-Gy h(−1) and 30-Gy h(−1) treatments, respectively. These results indicate that biogeochemical processes will likely not be restricted by dose rates in such environments, and electron accepting processes may even be stimulated by radiation

Outcomes of Naviculectomy for Severe Recurrent Clubfoot Deformity

Background: Naviculectomy was originally described for resistant congenital vertical talus deformity but was later expanded to use in rigid cavus deformity. This study reviews the operative outcomes of complete excision of the navicular for recurrent deformity in the talipes equinovarus (TEV) population. Methods: After institutional review board approval, all patients undergoing naviculectomy at a single institution were identified. Clinical, radiographic, and pedobarographic data (minimum 2 years’ follow-up) were reviewed. Results: Twelve patients (14 feet) with TEV from 1984 to 2019 were included. All feet had minimum 1 prior operative intervention on the affected foot (mean age = 4.0 years, range 0.2-14.5), with 8/14 having at least 3 prior operative procedures. Complete navicular excision with concomitant procedures was performed in all patients (mean age = 11.7 years, range 5.5-16.1). Mean clinical follow-up from naviculectomy was 5.1 years (range, 2.2-11.2). During follow-up, 6 patients required subsequent surgery, most often secondary to pain and progressive deformity. One patient underwent elective below-knee amputation of the affected extremity. Of the remaining 11 patients, 7 of 11 reported continued pain and 8 of 11 maintained adequate range of motion at the ankle at the most recent follow-up. Conclusion: Clinical follow-up demonstrated deteriorating results in a large percentage of patients. The high rate of additional procedures and continued pain in the current series suggests that even as a salvage procedure, naviculectomy may not provide adequate results for patients. Level of Evidence: Level IV, case series

Not Waving but Striving: Research Collaboration in the Context of Stratification, Segmentation, and the Quest for Prestige

In this article we examine the ways in which institutional stratification and academic labor segmentation contribute to shaping faculty collaborative activities. We draw on interviews from science and engineering faculty at two institutions in the United States to highlight how collaboration, as an essential form of academic labor, is shaped by institutional factors like resource stress and isomorphic pressures to fit the ideal of the “world-class” research-intensive university. The findings suggest that a university’s relative position in the institutional status hierarchy has a significant impact on the types of resources faculty seeking to establish collaborations can access and mobilize, thus reinforcing existing patterns of institutional stratification where “striving” institutions can never catch up to their more prestigious peers. At the same time, the pressure to maximize institutional prestige can create paradoxical interinstitutional dynamics where seemingly successful “Mode 2” units that rely almost exclusively on external resources and partnerships with industry are expected to mold themselves more closely to the activity streams of traditional academic units

Seeing is understanding: the use of online prelaboratory exercises to enhance learning in Zoology practicals

Cognitive load theory suggests that a student’s learning will be inhibited if ‘the instructional materials overwhelm a learner’s cognitive resources’ (Cook 2006, p.1076): the less prior knowledge a learner has, the more susceptible they are to overload. Cognitive load theory provides the basis for a number of instructional design rules. These include the use of multiple representations, and the use of dual mode presentations (e.g. verbal plus visual). In our first year Zoology practical classes, we have observed that many students have difficulty visualising what they will do in class from reading a set of written instructions. Thus they are less well prepared, and less able to take full advantage of the learning experiences offered by the practical exercises. When that exercise involves a dissection, there are ethical implications (ANZCCART 2005). We therefore prepared a series of prelaboratory exercises to support each of our dissection-based practical classes. These are PowerPoint shows illustrating the procedure for each stage of the dissection, with written comments and questions designed to highlight key learning concepts: they are loaded into our online learning site the week before the relevant practical. To gauge the impact of this initiative, we surveyed our students before releasing the first prelaboratory, and in the penultimate week of semester. The surveys were designed to elicit information on how well-prepared they feel for their classes, and what type of preparation they do: 68% commented that they ‘like to see or be shown what I have to do’. We also sought feedback from the demonstrators about the types of questions being asked by the students to gauge the effectiveness of the prelaboratories in helping the students conceptualise what they would be doing in class. Preliminary analysis suggests that the prelaboratories were enthusiastically embraced by the students, and that there may be enhanced learning outcomes

Intramolecular Friedel-Crafts Addition of Indoles to Tertiary Allylic Alcohols

An intermolecular Friedel-Crafts alkylation of indole and tertiary allylic alcohols has been developed. The allylic alcohols were synthesized using a two-step procedure, then exposure of these alcohols to diphenyl phosphate facilitated the desired annulation reaction. This reaction tolerated a variety of indole substitutions to yield 1H,2H,3H,4H-pyrido[1,2-a]indoles

Prescription drug monitoring program inquiry in psychiatric assessment: detection of high rates of opioid prescribing to a dual diagnosis population

OBJECTIVE: An epidemic of prescription drug abuse is disproportionately impacting the mentally ill. We examined the utility of a state prescription drug monitoring database for assessing recent controlled substance prescribing to patients presenting for dual diagnosis treatment. METHOD: In a community mental health center that provides integrated dual diagnosis care, we queried the Indiana Scheduled Prescription Electronic Collection and Tracking (INSPECT) system for all cases that were open as of August 2, 2011, and had been practitioner-diagnosed (per DSM-IV criteria) by January 2, 2012. INSPECT provided a record of controlled substance dispensations to each patient; diagnostic evaluation was conducted blind from prescription data compilation covering the prior 12 months. Demographic data, insurance status, and DSM-IV diagnoses were compiled from the clinic's electronic medical record. RESULTS: The sample (N = 201) was 51% female, 56% white, and two-thirds uninsured. Over 80% were dually diagnosed with substance use disorders and psychotic, mood, or anxiety disorders. Nicotine and alcohol disorders were identified in most, with about a third diagnosed with cannabis, cocaine, or opioid disorders. A majority of patients (n = 115) had been prescribed opioids in the prior year, with nearly 1 in 5 prescribed an opioid and benzodiazepine simultaneously. Patients were dispensed a mean of 4 opioid prescriptions and 213 opioid pills. More opioid prescriptions correlated with opioid dependence (OR = 1.08; 95% CI, 1.016-1.145), and more prescribers correlated with personality disorder diagnoses (OR = 1.112; 95% CI, 1.001-1.235). Higher rates and riskier patterns of controlled substance prescribing were identified in patients with Medicaid/Medicare insurance compared to uninsured patients. CONCLUSIONS: Prescription drug monitoring is a powerful tool for assessing addictions and high frequencies of patient exposures to prescribed opioids in a dual diagnosis clinic. Improved prevention and treatment strategies for addictions as facilitated by more research and clinical use of prescription drug monitoring in psychiatric care are warranted

Revisiting our review of Screening, Brief Intervention and Referral to Treatment (SBIRT): meta‐analytical results still point to no efficacy in increasing the use of substance use disorder services

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152618/1/add13146.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152618/2/add13146_am.pd