A Comparison of the Feminist Theological Positions of Mary Baker Eddy and Rosemary Radford Ruether

This thesis attempts to compare the feminist principles of two American Christian women, Mary Baker Eddy (1821-1910) and Rosemary Radford Ruether (b. 1936-). Although separated by one hundred years, they are both considered to be Christian Feminists in the sense that they have both tried to extend women's voice into the male world of religion. Further they compliment each other in the struggle and opportunity they see for Women in the Church. Mary Baker Eddy, founder of Christian Science, was dedicated to "equality" of the sexes in her Church. . Despite Eddy's insistence on "equality", she was more interested in her Church as a healing institution rather than in a Church that was known for its Feminist principles. Rosemary Radford Ruether is a contemporary academic whose writings have become the standard texts for female theologians. She has written with outstanding scholarship on the androcentricism in the Christian Church.Christian Spirituality, Church History and MissiologyM.Th. (Church History

Radical social activism, lay Catholic women and American feminism, 1920-1960

This dissertation describes a movement I am calling Radical Social Activism that flourished among Catholic women between the years 1920-1960. The Catholic women participating did not abandon their Church's teachings on women but worked within the androcentric Catholic Church to achieve some lasting results as Radical Social Activists. This Radical Social Activism worked in the lives of Dorothy Day, Maisie Ward, and Dorothy Dohen, three women who retained a firm attachment to the Catholic faith and who would not align themselves with the incipient feminism of the times, but who, nevertheless, strove for social change and justice without regard for political or social recognition. Their work was radical because they were not complacent with the status quo and worked to change it. Their work was social because they ignored Church politics and reached outside their individual egos. And their work was definitely action oriented in that they practiced their beliefs rather than simply preach them. Few Catholic women were involved with the early women's Suffragist movement; the overwhelming majority did not participate in mainstream feminism, in part due to their immigrant background. Women stepped out of the family setting and into active roles in a society that increasingly measured success in terms of economic well being. These role changes produced trade offs in terms of how the family was viewed and it de-emphasized society's spiritual well being. Some of the issues and solutions for women in modern society collided with moral and ethical teachings of the Roman Catholic Church. I have selected three such women who responded with Radical Social Activism, and participated in the American Catholic Church, however, they did not participate in the general feminism of the times. These women, Dorothy Day, Maisie Ward, and Dorothy Dohen, represented in their Radical Social Activism, a feminism of the spirit, as it were, while still remaining within the structure and Magisterium of the Church proper. As women moved into secular society, they made compromises concerning their duties and responsibilities to family. Issues of divorce, birth control, and abortion became popular remedies that helped limit family duties and responsibilities. However, the Catholic Church has always viewed these as problematical and theological challenges to Catholic teaching and has consistently refuted the expediency of these solutions on moral grounds. Yet, if the Church's view on women limits women as feminists have claimed, it did not stop Day, Dohen, and Ward from participating and changing the secular world around them, while still remaining loyal to the teachings of the Catholic Church.Christian Spirituality, Church History and MissiologyD.Th. (Church History

A Multidisciplinary Childrens Airway Center: Impact on the Care of Patients With Tracheostomy

BACKGROUND: Children with complex airway problems see multiple specialists. To improve outcomes and coordinate care, we developed a multidisciplinary Children's Airway Center. For children with tracheostomies, aspects of care targeted for improvement included optimizing initial hospital discharge, promoting effective communication between providers and caregivers, and avoiding tracheostomy complications. METHODS: The population includes children up to 21 years old with tracheostomies. The airway center team includes providers from pediatric pulmonology, pediatric otolaryngology/head and neck surgery, and pediatric gastroenterology. Improvement initiatives included enhanced educational strategies, weekly care conferences, institutional consensus guidelines and care plans, personalized clinic schedules, and standardized intervals between airway examinations. A patient database allowed for tracking outcomes over time. RESULTS: We initially identified 173 airway center patients including 123 with tracheostomies. The median number of new patients evaluated by the center team each year was 172. Median hospitalization after tracheostomy decreased from 37 days to 26 days for new tracheostomy patients <1 year old discharged from the hospital. A median of 24 care plans was evaluated at weekly conferences. Consensus protocol adherence increased likelihood of successful decannulation from 68% to 86% of attempts. The median interval of 8 months between airway examinations aligned with published recommendations. CONCLUSIONS: For children with tracheostomies, our Children's Airway Center met and sustained goals of optimizing hospitalization, promoting communication, and avoiding tracheostomy complications by initiating targeted improvements in a multidisciplinary team setting. A multidisciplinary approach to management of these patients can yield measurable improvements in important outcomes

Integrating Organic Soybean Production following Conservation Reserve Program (CRP) Land into Sustainable Farming Systems

Organic farming has increased to an $8 billion industry in the United States and continues to expand approximately 20% annually. In Iowa alone, organic acreage has increased from 13,000 acres in 1995 to 150,000 in 1999. Across the North Central region, there has been great interest in planting organic soybeans on Conservation Reserve Program (CRP) land, where up to a 400% premium can be obtained compared with conventionally raised soybeans. Regulation of soil organic matter through additions of plant residues and proper crop rotations will determine the long-term sustainability of the system

Statewide cross-sectional survey of emergency departments\u27 adoption and implementation of the Ohio opioid prescribing guidelines and opioid prescribing practices

Study objective To evaluate the implementation of the Ohio Emergency and Acute Care Facility Opioids and Other Controlled Substances Prescribing Guidelines and their perceived impact on local policies and practice. Methods The study design was a cross-sectional survey of emergency department (ED) medical directors, or appropriate person identified by the hospital, perception of the impact of the Ohio ED Opioid Prescribing Guidelines on their departments practice. All hospitals with an ED in Ohio were contacted throughout October and November 2016. Distribution followed Dillman’s Tailored Design Method, augmented with telephone recruitment. Hospital chief executive officers were contacted when necessary to encourage ED participation. Descriptive statistics were used to assess the impact of opioid prescribing policies on prescribing practices. Results A 92% response rate was obtained (150/163 EDs). In total, 112 (75%) of the respondents stated that their ED has an opioid prescribing policy, is adopting one or is implementing prescribing guidelines without a specific policy. Of these 112 EDs, 81 (72%) based their policy on the Ohio ED Opioid Prescribing Guidelines. The majority of respondents strongly agreed/agreed that the prescribing guidelines have increased the use of the prescription drug monitoring programme (86%) and have reduced inappropriate opioid prescribing (71%). Conclusion This study showed that the Ohio ED Opioid Prescribing Guidelines have been widely disseminated and that the majority of EDs in Ohio are using them to develop local policies. The majority of respondents believed that the Ohio opioid prescribing guidelines reduced inappropriate opioid prescribing. However, prescribing practices still varied greatly between EDs

Macronuclear Genome Sequence of the Ciliate Tetrahymena thermophila, a Model Eukaryote

The ciliate Tetrahymena thermophila is a model organism for molecular and cellular biology. Like other ciliates, this species has separate germline and soma functions that are embodied by distinct nuclei within a single cell. The germline-like micronucleus (MIC) has its genome held in reserve for sexual reproduction. The soma-like macronucleus (MAC), which possesses a genome processed from that of the MIC, is the center of gene expression and does not directly contribute DNA to sexual progeny. We report here the shotgun sequencing, assembly, and analysis of the MAC genome of T. thermophila, which is approximately 104 Mb in length and composed of approximately 225 chromosomes. Overall, the gene set is robust, with more than 27,000 predicted protein-coding genes, 15,000 of which have strong matches to genes in other organisms. The functional diversity encoded by these genes is substantial and reflects the complexity of processes required for a free-living, predatory, single-celled organism. This is highlighted by the abundance of lineage-specific duplications of genes with predicted roles in sensing and responding to environmental conditions (e.g., kinases), using diverse resources (e.g., proteases and transporters), and generating structural complexity (e.g., kinesins and dyneins). In contrast to the other lineages of alveolates (apicomplexans and dinoflagellates), no compelling evidence could be found for plastid-derived genes in the genome. UGA, the only T. thermophila stop codon, is used in some genes to encode selenocysteine, thus making this organism the first known with the potential to translate all 64 codons in nuclear genes into amino acids. We present genomic evidence supporting the hypothesis that the excision of DNA from the MIC to generate the MAC specifically targets foreign DNA as a form of genome self-defense. The combination of the genome sequence, the functional diversity encoded therein, and the presence of some pathways missing from other model organisms makes T. thermophila an ideal model for functional genomic studies to address biological, biomedical, and biotechnological questions of fundamental importance

Sickle Cell Disease Treatment with Arginine Therapy (STArT): study protocol for a phase 3 randomized controlled trial.

BACKGROUND: Despite substantial illness burden and healthcare utilization conferred by pain from vaso-occlusive episodes (VOE) in children with sickle cell disease (SCD), disease-modifying therapies to effectively treat SCD-VOE are lacking. The aim of the Sickle Cell Disease Treatment with Arginine Therapy (STArT) Trial is to provide definitive evidence regarding the efficacy of intravenous arginine as a treatment for acute SCD-VOE among children, adolescents, and young adults. METHODS: STArT is a double-blind, placebo-controlled, randomized, phase 3, multicenter trial of intravenous arginine therapy in 360 children, adolescents, and young adults who present with SCD-VOE. The STArT Trial is being conducted at 10 sites in the USA through the Pediatric Emergency Care Applied Research Network (PECARN). Enrollment began in 2021 and will continue for 5 years. Within 12 h of receiving their first dose of intravenous opioids, enrolled participants are randomized 1:1 to receive either (1) a one-time loading dose of L-arginine (200 mg/kg with a maximum of 20 g) administered intravenously followed by a standard dose of 100 mg/kg (maximum 10 g) three times a day or (2) a one-time placebo loading dose of normal saline followed by normal saline three times per day at equivalent volumes and duration as the study drug. Participants, research staff, and investigators are blinded to the participant\u27s randomization. All clinical care is provided in accordance with the institution-specific standard of care for SCD-VOE based on the 2014 National Heart, Lung, and Blood Institute guidelines. The primary outcome is time to SCD-VOE pain crisis resolution, defined as the time (in hours) from study drug delivery to the last dose of parenteral opioid delivery. Secondary outcomes include total parental opioid use and patient-reported outcomes. In addition, the trial will characterize alterations in the arginine metabolome and mitochondrial function in children with SCD-VOE. DISCUSSION: Building on the foundation of established relationships between emergency medicine providers and hematologists in a multicenter research network to ensure adequate participant accrual, the STArT Trial will provide definitive information about the efficacy of intravenous arginine for the treatment of SCD-VOE for children. TRIAL REGISTRATION: The STArT Trial was registered in ClinicalTrials.gov on April 9, 2021, and enrollment began on June 21, 2021 (NCT04839354)

Improvised ornamentation in the opera arias of Mozart: A singer's guide.

Wolfgang Amadeus Mozart, along with other composers of the late eighteenth century, often left melodic phrases of opera arias with simplified endings at cadenza points. This practice allowed particular care to be given to the visual appearance of the harmony in order to avoid confusion for the keyboard player realizing the harmony at sight. Composers usually expected the singer to add appoggiaturas according to taste. In addition, eighteenth century practices of improvisation included the addition of cadenzas at fermatas and the varying of da capos and other repeated material. Little of this was written down by the composer and therefore few ornaments appear in printed scores. Modern singers performing music of the late eighteenth century would be in error simply to sing the notes as printed; historically informed practice would necessitate the addition of ornaments in most cases. Information about the places to add ornaments and the type of ornament to use is extant but scattered. This study concentrates on various ornamentation practices of the late eighteenth century as applied to opera arias, specifically through the addition of appoggiaturas at prosodic phrase endings, da capo embellishments and cadenzas at fermatas. Arias from Le nozze di Figaro are used as examples throughout. The most pertinent historical sources are gathered in this work, including excerpts from the writings and compositions of Johann Adam Hiller, Giambattista Mancini, Domenico Corri, Manuel Garcia, Johann Nepomuk Wendt, Henri Cramer, and Mozart himself. Contemporary research sources include the work of Frederick Neumann, Will Crutchfield and the editors of the Neue Mozart Ausgabe. Ornaments from various recordings of Le nozze di Figaro are transcribed for comparison, including performances from the conductors Charles Mackerras, John Eliot Gardiner, Arnold Ostmann and Nikolaus Harnoncourt. Since Mozart did fully ornament a few arias, suggestions for applying ornaments to other works are construed from his examples