Midwives\u27 knowledge, attitudes and learning needs regarding antenatal vaccination

Objective: To determine the knowledge, attitudes and learning needs of midwives regarding antenatal vaccination. Design & Setting: A cross-sectional, paper-based survey of midwives employed at the only public tertiary maternity hospital in the Australian state of XX between November 2015 and July 2016. Participants: 252 midwives providing care in antepartum, intrapartum, and/or postpartum settings. Measurements: Self-reported responses to a 41-item survey. Findings: The vast majority of midwives supported influenza and pertussis vaccination for pregnant women, with 90.0% and 71.7% reporting they would recommend pertussis and influenza vaccine, respectively, to a pregnant friend or family member, and almost all stating that midwives should administer vaccines to pregnant patients (94.8%). Seven out of ten midwives (68.1%) responded correctly to all knowledge items regarding vaccines recommended during pregnancy; 52.8% demonstrated correct knowledge regarding vaccine administration despite only 36.6% having attended an education session on antenatal vaccination in the previous two years. Nearly all midwives (97.3%) expressed a need for more education on vaccine administration. The most commonly reported barrier to administering influenza (61.3%) and pertussis (59.0%) vaccination was having staff available with the certification required to administer vaccines. Key Conclusions: Midwives view antenatal vaccination as their responsibility and are interested and receptive to education. Implications for Practice: There is an unmet need and demand among midwives for professional development that would enable them to recommend and administer vaccines to pregnant women in accordance with national immunisation guidelines and integrate vaccination into routine antenatal care

Legislatively Mandating A CBA Is Not The Way: A Case Study Of Detroit’s Proposed Community Benefits Ordinance And Its Constitutionality Under The Takings Clause Of The Fifth Amendment

Community Benefit Agreements, or CBAs, have quickly become a useful tool to ensure that the benefits reaped from large-scale urban development projects are shared among all stakeholders, particularly the community in which the development takes place. In exchange for the local community’s support, which is critical to the developer to progress through the permit application process efficiently, the developer contractually agrees to provide a slate of benefits to the affected community. CBAs have been lauded for their ability to require developers to promote affordable housing, first-source hiring programs, and other targeted benefits which the host community contracted for. However, one of the biggest critiques of CBAs has been that they may violate the Takings Clause of the Fifth Amendment if the local government becomes too involved in the negotiating process of a CBA. During Detroit’s 2016 Elections, grassroots activists, along with local council members, proposed an ordinance which would have mandated a CBA as part of all major development projects undertaken in the City. Ultimately, the ordinance did not receive the necessary votes to become part of Detroit’s charter. However, had the ordinance been approved and implemented, those implementing the ordinance would have either: 1) been constrained by the scope of the Takings Clause, which would severely limit the types of benefits that could be bargained for in a CBA; or 2) risked violating the Fifth Amendment. This Note argues that while legislatively requiring CBAs may increase their number, the CBAs created under this type of ordinance would not facilitate equitable development, as they would be constrained by the Takings Clause. Rather, this Note suggests that a better alternative to legislatively mandated CBAs would be legislation that provides local communities with better tools to negotiate CBAs, without local government involvement in the negotiation process. Accordingly, affected communities would have more bargaining power with developers and be free from the constraints of the Fifth Amendment in the benefits they could broker. As a result, municipalities as a whole would be better equipped to ensure that the effects of real estate development would be equitable to all those who would be affected by it

The Tallahassee Fire of 1843

An account of this conflagration, which destroyed the greater part of the town as first built, appeared in the Quarterly in the issue for July, 1924. These additional documents and notes are taken from contemporaneous issues of the Floridian and the Sentinel, Tallahassee newspapers

Legislatively Mandating A CBA Is Not The Way: A Case Study Of Detroit’s Proposed Community Benefits Ordinance And Its Constitutionality Under The Takings Clause Of The Fifth Amendment

Community Benefit Agreements, or CBAs, have quickly become a useful tool to ensure that the benefits reaped from large-scale urban development projects are shared among all stakeholders, particularly the community in which the development takes place. In exchange for the local community’s support, which is critical to the developer to progress through the permit application process efficiently, the developer contractually agrees to provide a slate of benefits to the affected community. CBAs have been lauded for their ability to require developers to promote affordable housing, first-source hiring programs, and other targeted benefits which the host community contracted for. However, one of the biggest critiques of CBAs has been that they may violate the Takings Clause of the Fifth Amendment if the local government becomes too involved in the negotiating process of a CBA. During Detroit’s 2016 Elections, grassroots activists, along with local council members, proposed an ordinance which would have mandated a CBA as part of all major development projects undertaken in the City. Ultimately, the ordinance did not receive the necessary votes to become part of Detroit’s charter. However, had the ordinance been approved and implemented, those implementing the ordinance would have either: 1) been constrained by the scope of the Takings Clause, which would severely limit the types of benefits that could be bargained for in a CBA; or 2) risked violating the Fifth Amendment. This Note argues that while legislatively requiring CBAs may increase their number, the CBAs created under this type of ordinance would not facilitate equitable development, as they would be constrained by the Takings Clause. Rather, this Note suggests that a better alternative to legislatively mandated CBAs would be legislation that provides local communities with better tools to negotiate CBAs, without local government involvement in the negotiation process. Accordingly, affected communities would have more bargaining power with developers and be free from the constraints of the Fifth Amendment in the benefits they could broker. As a result, municipalities as a whole would be better equipped to ensure that the effects of real estate development would be equitable to all those who would be affected by it

Reducing maternal morbidity: Postpartum hemorrhage risk assessment

More than 50,000 women were impacted by severe maternal morbidity (SMM) in 2014 and the number of women affected has been steadily increasing in recent years. This educational offering will describe how small changes in nursing practice can impact SMM

Discussion of the least squares technique and development of a curve fitting subroutine

Least squares technique and curve fitting subroutine for backscatter data analysi

Capstone Design Project Course Pathways

Capstones are open-ended undertakings where students are expected to creatively analyze, synthesize, and apply a wide-variety of learning outcomes from prior coursework. This paper discusses the structure, approach and evolution of the capstone project pathways within our College. Specifically two programs, MET and EET, have adopted different solutions towards the planning, organizing and execution. The areas of contrast among projects are: 1) sourcing, 2) type, 3) feedback and evaluation, 4) assessment methodology, 5) supplemental resources and 6) curricular strategy. For the first five, the advantages and disadvantages of different approaches are discussed along with the issues and benefits experienced by students, faculty and industry sponsors. In the sixth, a means to improve capstone readiness and performance is presented in which experiential courses within a topical area sequentially introduce challenging and open-ended assignments that foster cognitive learning