African American Female Clergy in Dual Clergy Marriage

Burgeoning evidence has shown rapid growth of licensed and ordained female clergy within the Protestant church. Consequently, dual clergy couples have also increased in number. Research has suggested that African American female clergy have experienced greater challenges than male clergy in leadership roles in the church, including social isolation, sexism, and glass-ceiling barriers. Female clergy are also disproportionately affected by mental and physical health complications including depression, obesity, and burnout. Guided by adult personal resilience theory and its tenets of determination, endurance, adaptability, and recuperability, this interpretive phenomenological study focused on exploring the lived experiences of 13 African American female clergy leaders married to male clergy leaders. African American female clergy, recruited through both purposeful and snowball sampling, through interviews shared their stories of living in a dual-clergy marriage. Using Colaizzi\u27s seven-step process of qualitative analysis and coding, two major themes of Resolve and Resilience, and four sub-themes including Barriers to the Church, Multiple Roles, Health and Wellness, and Adaptation were identified. Findings from this research expand the current body of knowledge on leadership and gender roles in the Protestant church, including the need for a greater understanding of the experiences of female clergy in male-dominated congregational and ministerial spaces. Implications for social change include opening conversations regarding the unique experiences of African American female clergy, supporting awareness of the social, mental and physical challenges of female clergy, and engaging in larger conversations about equal access in all areas of church leadership

Enabling Outcomes for Students with Developmental Disabilities through Collaborative Consultation

Collaborative consultation has been widely adopted in school-based occupational therapy practice; however, limited research has examined how collaboration between educators and occupational therapists contributes to students’ outcomes. The purpose of this study was to describe the nature of collaborative working in two cases of school-based occupational therapy service delivery. This paper reports a cross-case analysis, comparing findings about the nature of a joint effort in each case study to identify workplace practices that facilitated educator-occupational therapist collaboration. Ethnographic case study methods (Stake, 1995; Wolcott, 2008) and socio-cultural activity theory (SCAT; Engeström, 2001) were used to examine multiple perspectives concerning school-based occupational therapy collaborative consultation for two students with developmental disability in one region of Ontario, Canada. Cross-case analysis (Stake, 2006) facilitated examination of the similarities and differences in teamwork. Specific ways that educator-occupational therapist collaboration can be facilitated were identified in three areas: (a) focus for educational programming; (b) communication practices; and (c) leadership practices of educators. SCAT provided a robust framework for describing the depth, quality, and context of interactions from multiple stakeholder perspectives. As such, this research contributes to the development of theoretical and empirical perspectives on the processes of collaborative working and the relationship of these processes to outcomes

More Than Plumbing: The History of Sexual Education in Ontario, 1960-1979

During the 1960s and 1970s, Ontario educators were concerned that the “sexual revolution” would encourage youths to engage in sexually promiscuous behaviour, become unwed mothers, and contract STIs. As parents were perceived as unreliable sex educators, school administrators and educators felt compelled to teach traditional sexual values, and the importance of the nuclear family through sexual education. This dissertation analyzes the creation and instruction of sexual education in physical and health education courses throughout the 1960s and 1970s in Ontario. This study provides the first comprehensive discussion of sexual education in Ontario during the sixties and seventies through an examination of the Department/Ministry of Education, school boards, and teachers’ efforts to implement sexual instruction.An oral history project was also conducted to explore classroom culture and teacher’s experiences with educating youth about their bodies, reproduction, puberty, and sexual values. Due to the controversial nature of sexual instruction, the Ministry of Education avoided implementing a mandatory curriculum until 1987, as a result of the AIDS crisis. Many school boards did not have the resources or the motivation to create sexual education lesson plans and materials. The school boards that attempted to form a sexual health program usually had the support of the local medical community and were located in more urbanized areas. Regardless of their school boards’ stance on sexual education, teachers were ultimately responsible for deciding whether sexual instruction would be incorporated into their lesson plans. As can be seen throughout this study, the struggles and resistance to modernize sexual education during social crises have persisted for over half a century; it appears that Ontario sexual instruction is doomed to be outmoded, and ineffectual

Association of Palliative Care Consultation with Advance Directive Completion for Patients Admitted with an Acute Heart Failure Exacerbation

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List precoloring extension in planar graphs

A celebrated result of Thomassen states that not only can every planar graph be colored properly with five colors, but no matter how arbitrary palettes of five colors are assigned to vertices, one can choose a color from the corresponding palette for each vertex so that the resulting coloring is proper. This result is referred to as 5-choosability of planar graphs. Albertson asked whether Thomassen's theorem can be extended by precoloring some vertices which are at a large enough distance apart in a graph. Here, among others, we answer the question in the case when the graph does not contain short cycles separating precolored vertices and when there is a "wide" Steiner tree containing all the precolored vertices.Comment: v2: 15 pages, 11 figres, corrected typos and new proof of Theorem 3(2

What We Learned about Mentoring Research Assistants Employed in a Complex, Mixed-Methods Health Study

We investigated the experiences of research assistants in their dual role as both employees and trainees, when they were employed in a complex, mixedmethods, Canadian study on the everyday experience of living with and managing a chronic condition. A total of 13 research assistants participated in one or more components of this study: a survey (n = 11), focus group interview (n = 7), and/or individual interview (n = 13). Thematic analysis identified two key themes: what faculty mentors should provide to research assistants before they begin their work, and what faculty mentors need to know in order to effectively offer ongoing support to research assistants. Our results provide valuable insights for new and experienced faculty members who employ research assistants and for research assistants employed in funded research projects. Our results can inform the development of regulations to ensure that research assistants have greater protection as both trainees and employees.   Lors d’une recherche canadienne complexe à méthodologie mixte portant sur le quotidien des gens qui vivent avec une condition chronique ou qui doivent en gérer les aspects, nous avons exploré le double rôle des adjoints à la recherche, à la fois comme employés et comme stagiaires. Au total, 13 adjoints à la recherche ont participé à au moins une composante de cette étude : un sondage (n = 11), une entrevue de groupe (n = 7), une entrevue individuelle (n = 13). Une analyse thématique a pu repérer deux thèmes principaux : ce que les mentors du corps professoral doivent savoir afin d’aider efficacement et de façon soutenue les adjoints à la recherche, et ce qu’ils doivent leur fournir avant le début des travaux. Nos résultats fournissent de précieux éclaircissements pour de nouveaux membres et des membres chevronnés du corps professoral qui emploient des adjoints à la recherche, ainsi que pour des adjoints à la recherche qui travaillent à des projets subventionnés. Nos résultats informent les responsables de l’élaboration des règlements afin de s’assurer que les adjoints à la recherche disposent d’une protection élargie en tant que stagiaires et employés

Long-Term Safety Evaluation of Ubrogepant for the Acute Treatment of Migraine: Phase 3, Randomized, 52-Week Extension Trial.

OBJECTIVE: To evaluate the long-term safety and tolerability of ubrogepant for the acute treatment of migraine. BACKGROUND: Ubrogepant is an oral, calcitonin gene-related receptor antagonist in development for the acute treatment of migraine. The efficacy of ubrogepant was demonstrated in 2 phase 3 trials in which a significant improvement was observed in migraine headache pain, migraine-associated symptoms, and ability to function. METHODS: This was a phase 3, multicenter, randomized, open-label, 52-week extension trial. Adults with migraine with or without aura entered the trial after completing one of 2 phase 3 lead-in trials and were re-randomized 1:1:1 to usual care, ubrogepant 50 mg, or ubrogepant 100 mg. Randomization to ubrogepant dose was blinded. Those randomized to usual care continued to treat migraine attacks with their own medication. The usual care arm was included in this trial to capture background rates of hepatic laboratory parameters and contextualize hepatic safety assessments. Safety and tolerability were the primary outcome measures. The safety population for the ubrogepant arms included all randomized participants who received at least 1 dose of treatment. All cases of alanine aminotransferase (ALT)/aspartate aminotransferase (AST) elevations of ≥3 times the upper limit of normal were adjudicated by an independent panel of liver experts who were blinded to dose. RESULTS: The safety population included 1230 participants (404 in the ubrogepant 50-mg group, 409 in the ubrogepant 100-mg group, and 417 in the usual care group). Participants were on average 42 years of age, 90% (1106/1230) female and 85% (1043/1230) white, with an average BMI of 30 kg/m CONCLUSIONS: Long-term intermittent use of ubrogepant 50 and 100 mg given as 1 or 2 doses per attack for the acute treatment of migraine was safe and well tolerated, as indicated by a low incidence of treatment-related TEAEs and SAEs and discontinuations due to adverse events in this 1-year trial

Repairing a Damaged Powered Air-Purifying Respirator (PAPR) Battery Component Component with 3-D Printing

A team from the Thomas Jefferson University Health Design Lab worked with local engineers at FKB to create a 3-D replacement model for the faulty component A new component was designed to function with existing battery components The new component was created using a desktop fused deposition modeling (FDM) 3-D printer with polylactic acid (PLA) filamen