The current constitutional debate concerning the separation of church and state as manifested in religiously based challenges to the public school curriculum

The purpose of this study was to examine the current delate concerning separation of church and state as manifested in religiously based challenges to the public school curriculum. There are two clauses in the First Amendment regarding separation of church and state. It •was determined that the establishment clause controls the free exercise clause. Therefore, this paper concentrated on challenges which involved the establishment clause. This study concentrated on three major issues in the current debate: the creationist-evolutionist controversy, the secular humanism issue, and the issue of moral values and education. These three issues were studied to determine if the public schools have remained neutral with regard to religion. The study first attempted to set the context in which each of these issues is being debated. Second, each side in the debate vas described, and then conclusions were drawn. In order to set the context for the current debate, the historical development of the principle of separation of church and state was studied. In this part of the study, the philosophical and political antecedents of the principle, the articulation of the principle, and, finally, the application of the principle through the courts were examined

What do you want to be when you grow up? the impact of cultural capital on the post-high school aspirations of six rural young adults

The presence, influence, and effect of embodied, objectified, and institutionalized cultural capital on rural students’ decisions to drop out of college before completing their degree was examined in this research study. Through in-depth research and analysis, the researcher sought to determine the relationship between the cultural capital of six rural young adults who pursued college immediately after high school but withdrew within their first two years of attendance. The data confirmed that a lack of dominant cultural capital influenced the decisions of all of the participants. There were areas of influence in the embodied, objectified, and institutional levels of cultural capital. For embodied cultural capital participants’ were influenced by parental expectations, low teacher expectations, and lack of community opportunities. For objectified cultural capital, personal grooming, clothing, and money were valued for the peer respect that they brought. Institutional capital was very significant because of its limited presence in each of the participants’ lives; although the participants had high school diplomas, at the time of this interview none had graduated from college or returned to pursue institutional certifications

The VCU Health Careers Pipeline

The VCU Health Careers Pipeline is a proposal for linking and enhancing existing outreach, academic and mentoring programs on both campuses. The goal of the proposed pipeline is to increase the number of disadvantaged students from the Richmond area who successñllly graduate with a VCU health care degree and obtain employment in the VCU Health System. We propose the hiring of a filll-time director who will collaborate with VCU programs and community initiatives to ensure the success of the program. This director will coordinate the outreach programs currently conducted by VCU departments that introduce health careers to local elementary, middle and high school students

Identifying Needs of Potential Transfer Students of Color to Enhance Equity and Inclusion in the College of Health Professions

State Council of Higher Education of Virginia (SCHEV)1 data indicate disparities in recruitment and retention outcomes for transfer students of color and those of Hispanic ethnicity compared to non-Hispanic White peers. With the goal of enhancing equity and inclusion while diversifying the health professions, this project characterizes the needs of this population to inform the development of a new bachelor’s program within the College of Health Professions. The project provides recommendations based on data collected from both prospective and current VCU transfer students

Malignant Hyperthermia Crisis: Improving Knowledge, Recognition, and Preparedness of the Labor and Delivery Registered Nurse

Background: Malignant Hyperthermia or Malignant Hyperpyrexia (MH) is a rare, potentially lethal patient syndrome caused by a hyper-metabolic state that can be precipitated by the administration of volatile inhalational anesthetic agents or a depolarizing neuromuscular blocking agent. Purpose: The purpose of this DNP project is to provide education, increase awareness, and increase proficiency in early recognition and management of an MH crisis, specifically relating to labor and delivery nurses. Methods: A quantitative methods design was used to evaluate knowledge and confidence following the education and mock MH scenario. The quantitative data collected was divided into two categories, category A and category B. Category A consisted of the entire sample of participants (n=20) who completed either the pre-evaluation survey or the post-evaluation survey. Category B was the sample of participants who completed both the pre-evaluation and post-evaluation surveys (n=20). Each category underwent descriptive statistical analysis while the paired questionnaires were evaluated using paired t-tests to determine statistical significance. Results: Results provided information consistent with increased average mean scores of both knowledge and confidence across all categories. The education provided will be incorporated into the unit’s annual competency training and orientation program for L&D nurses at this facility. Recommendations and Conclusion: The results of this project have shown that knowledge and confidence improved for the L&D registered nurse. It is recommended that MH crisis management training be incorporated into the new employee orientation and annual continuing education program.“Key Words” Malignant Hyperthermia simulation, Malignant Hyperthermia in Labor and Delivery, crisis management, simulation

The architecture of a probation office: a reflection of policy and an impact on practice

This article illustrates how the physicality of a probation office can be considered both integral to, and representative of, several important changes in the probation service’s recent history through analysis of research conducted in a probation office. I suggest that the relationship between the ‘protected’ zone of the office and the ‘unprotected’ zone of the waiting area and interview rooms is similar to Goffman’s ‘frontstage’ and ‘backstage’ and expand on his theory of social action by describing how the architecture of probation represents and potentially perpetuates the rise of risk, punishment and managerialism in probation. The article then moves onto the exterior and location of the office to look at how these represent probation’s move away from the communities it serves as well as inadvertently increasing the amount of punishment certain offenders receive. This has significant consequences if the policy of probation moves towards modes of practice which no longer prioritise standardisation and punishment over professional judgment and the importance of the offender-officer relationship and the article concludes by looking to some examples of more inclusive forms of office design and architecture

Physics in Riemann's mathematical papers

Riemann's mathematical papers contain many ideas that arise from physics, and some of them are motivated by problems from physics. In fact, it is not easy to separate Riemann's ideas in mathematics from those in physics. Furthermore, Riemann's philosophical ideas are often in the background of his work on science. The aim of this chapter is to give an overview of Riemann's mathematical results based on physical reasoning or motivated by physics. We also elaborate on the relation with philosophy. While we discuss some of Riemann's philosophical points of view, we review some ideas on the same subjects emitted by Riemann's predecessors, and in particular Greek philosophers, mainly the pre-socratics and Aristotle. The final version of this paper will appear in the book: From Riemann to differential geometry and relativity (L. Ji, A. Papadopoulos and S. Yamada, ed.) Berlin: Springer, 2017

Efficacy and Safety of Prophylactic Vaccines against Cervical HPV Infection and Diseases among Women: A Systematic Review & Meta-Analysis

<p>Abstract</p> <p>Background</p> <p>We conducted a systematic review and meta-analysis to assess efficacy and safety of prophylactic HPV vaccines against cervical cancer precursor events in women.</p> <p>Methods</p> <p>Randomized-controlled trials of HPV vaccines were identified from MEDLINE, Cochrane Central Register of Controlled Trials, conference abstracts and references of identified studies, and assessed by two independent reviewers. Efficacy data were synthesized using fixed-effect models, and evaluated for heterogeneity using I²statistic.</p> <p>Results</p> <p>Seven unique trials enrolling 44,142 females were included. The fixed-effect Relative Risk (RR) and 95% confidence intervals were 0.04 (0.01-0.11) and 0.10 (0.03-0.38) for HPV-16 and HPV 18-related CIN2+ in the per-protocol populations (PPP). The corresponding RR was 0.47 (0.36-0.61) and 0.16 (0.08-0.34) in the intention-to-treat populations (ITT). Efficacy against CIN1+ was similar in scale in favor of vaccine. Overall vaccines were highly efficacious against 6-month persistent infection with HPV 16 and 18, both in the PPP cohort (RR: 0.06 [0.04-0.09] and 0.05 [0.03-0.09], respectively), and the ITT cohorts (RR: 0.15 [0.10-0.23] and 0.24 [0.14-0.42], respectively). There was limited prophylactic effect against CIN2+ and 6-month persistent infections associated with non-vaccine oncogenic HPV types. The risk of serious adverse events (RR: 1.00, 0.91-1.09) or vaccine-related serious adverse events (RR: 1.82; 0.79-4.20) did not differ significantly between vaccine and control groups. Data on abnormal pregnancy outcomes were underreported.</p> <p>Conclusions</p> <p>Prophylactic HPV vaccines are safe, well tolerated, and highly efficacious in preventing persistent infections and cervical diseases associated with vaccine-HPV types among young females. However, long-term efficacy and safety needs to be addressed in future trials.</p

Human papillomavirus types in cervical high-grade lesions or cancer among Nordic women - Potential for prevention

Publisher's version (útgefin grein)It is valuable to establish a population‐based prevaccination baseline distribution of human papillomavirus (HPV) types among women with high‐grade cervical intraepithelial neoplasia (CIN) grade 2 or 3 and cervical cancer in order to assess the potential impact of HPV vaccination. In four countries (Denmark, Norway, Sweden, and Iceland), we collected consecutive series of cervical cancers (n = 639) and high‐grade precancerous cervical lesions (n = 1240) during 2004‐2006 before implementation of HPV vaccination and subjected the specimens to standardized HPV genotyping. The HPV prevalence was 82.7% (95% confidence interval [CI] 79.0‐86.4) in CIN2, 91.6% (95% CI 89.7‐93.5) in CIN3, and 86.4% (95% CI 83.7‐89.1) in cervical cancer. The most common HPV types in CIN2/3 were HPV16 (CIN2: 35.9%, 95% CI 31.2‐40.6; CIN3: 50.2%, 95% CI 46.8‐53.6) and HPV31 (CIN2: 10.9%, 95% CI 7.8‐13.9; CIN3: 12.1%, 95% CI 9.9‐14.3), while HPV16 and HPV18 were the most frequent types in cervical cancer (48.8%, 95% CI 44.9‐52.7 and 15.3%, 95% CI 12.5‐18.1, respectively). The prevalence of HPV16/18 decreased with increasing age at diagnosis in both CIN2/3 and cervical cancer (P < 0.0001). Elimination of HPV16/18 by vaccination is predicted to prevent 42% (95% CI 37.0‐46.7) of CIN2, 57% (95% CI 53.8‐60.5) of CIN3 and 64% (95% CI 60.3‐67.7) of cervical cancer. Prevention of the five additional HPV types HPV31/33/45/52/58 would increase the protection to 68% (95% CI 63.0‐72.2) in CIN2, 85% (95% CI 82.4‐87.2) in CIN3 and 80% (95% CI 77.0‐83.2) in cervical cancer. This study provides large‐scale and representative baselines for assessing and evaluating the population‐based preventive impact of HPV vaccination.We thank Cecilia Wahlström and Kia Sjölin for assistance with the HPV genotyping. SKK received lecture fee from Merck and Sanofi Pasteur MSD, scientific advisory board fee from Merck, and unrestricted research grants through her institution from Merck. JD reports having received research grants to his institution for the funding of the study. CM received lecture fees and travel grants from Sanofi Pasteur MSD. CL and MH report that their institution received a grant from Merck. KLL is a full‐time employee of Merck & Co. Inc and owns stocks and options of Merck. MN received research grants from MSD Norway/Merck through the affiliating institute. CDC, SG, LT, KS, and BTH report no conflicts of interest.Peer Reviewe