Leading Change while Managing Conflict in Departmental Transitions

This session will explore conflict management strategies utilized while redefining a department during reaccreditation. Case examples of approaches used and results achieved will be presented in relation to existing literature. Through group activities, participants will be invited to explore and discuss the effectiveness of strategies used in each example presented

Portable respirators suitable for agricultural workers

Portable personal respiratory protection devices include a self-contained head gear member with a chin collar that has a front segment that defines a mouth portion and attaches to a back segment that resides over ears of a user and extends about a lower back segment of a head of the user. The head gear includes a visually transmissive face mask extending upwardly from the front segment of the chin collar that, in position, sealably engages a face of the user. The head gear has an open upper portion residing between an outer upper perimeter of the face mask and the back segment of the chin collar that, when worn, is adapted to expose a top and upper rear portion of a head of the user to environmental condition

Use of culturally focused theoretical frameworks for adapting diabetes prevention programs: A qualitative review

INTRODUCTION: Diabetes disproportionately affects underserved racial/ethnic groups in the United States. Diabetes prevention interventions positively influence health; however, further evaluation is necessary to determine what role culture plays in effective programming. We report on the status of research that examines cultural adaptations of diabetes prevention programs. METHODS: We conducted database searches in March and April 2014. We included studies that were conducted in the United States and that focused on diabetes prevention among African Americans, American Indians/Alaska Natives, Asian Americans/Pacific Islanders, and Latinos. RESULTS: A total of 58 studies were identified for review; 29 were excluded from evaluation. Few adaptations referenced or followed recommendations for cultural adaptation nor did they justify the content modifications by providing a rationale or evidence. Cultural elements unique to racial/ethnic populations were not assessed. CONCLUSION: Future cultural adaptations should use recommended processes to ensure that culture’s role in diabetes prevention–related behavioral changes contributes to research

Teacher and student response to the removal of dirty electricity by the Graham/Stetzer filter at Willow Wood school in

Abstract The purpose of this study was to test the effect of the Graham/Stetzer microsurge filters on the wellbeing of teachers and on the behavior of their students in a private school (grades 1 to 12) in Toronto, Canada. GS filters remove electromagnetic frequencies from 4 to 100 kHz on indoor wiring and they were installed in this school because one of the students is electrically sensitive. Teachers were asked in a single blind study to complete a questionnaire daily between January and March 2003 for a 6-week period (3 weeks with and 3 weeks without filters). Eighteen teachers out of 49 completed the questionnaire enough times to enable statistical analysis. Symptoms improved for 55% of the teachers and got worse for 11% of the teachers while the filters were installed. Three teachers (16%) had no response to the filters and another three (16%) had mixed reactions (some symptoms improved and some got worse). Overall teacher wellbeing improved while the filters were in place. Teachers were less frustrated, less tired, less irritable. They were better able to focus and had better health, improved mood, and greater sense of accomplishment. Student response appeared to be age-specific with younger students responding more favorably than older students. This preliminary study needs to be repeated in other schools. If the Graham/Stetzer filters are as effective as they appear to be, then the dirty electricity in schools, homes, and offices can be reduced until other methods are in place to minimize the production and distribution of this form of electrical pollution

Barriers to gender-equitable HIV testing: going beyond routine screening for pregnant women in Nova Scotia, Canada

<p>Abstract</p> <p>Background</p> <p>Women and men face different gender-based health inequities in relation to HIV, including HIV testing as well as different challenges in accessing HIV care, treatment and support programs and services when testing HIV-positive. In this article, we discuss the findings of a mixed methods study exploring the various individual and structural barriers and facilitators to HIV counselling and testing experienced among a sample of adult women and men living in Nova Scotia, Canada.</p> <p>Methods</p> <p>Drawing from testing demographics, qualitative interview data and a review of existing testing policies and research, this paper focuses on understanding the gendered health inequities and their implications for HIV testing rates and behaviours in Nova Scotia.</p> <p>Results</p> <p>The findings of this research serve as the basis to further our understanding of gender as a key determinant of health in relation to HIV testing. Recognizing gender as a key determinant of health in terms of both vulnerability to HIV and access to testing, this paper explores how gender intersects with health equity issues such as access to HIV testing, stigma and discrimination, and sexual behaviours and relationships.</p> <p>Conclusions</p> <p>Drawing on the current gender and HIV literatures, in conjunction with our data, we argue that an enhanced, gender-based, context-dependent approach to HIV counselling and testing service provision is required in order to address the health equity needs of diverse groups of women and men living in various settings. Further, we argue that enhanced HIV testing efforts must be inclusive of both men and women, addressing uniquely gendered barriers to accessing HIV counselling and testing services and in the process moving beyond routine HIV testing for pregnant women.</p

Advancing the application, quality and harmonization of implementation science measures

BACKGROUND: The field of implementation science (IS) encompasses a broad range of constructs and uses measures from a variety of disciplines. However, there has been little standardization of measures or agreement on definitions of constructs across different studies, fields, authors, or research groups. METHODS: We describe a collaborative, web-based activity using the United States National Cancer Institute’s (NCI) Grid-Enabled Measures (GEM) portal that uses a wiki platform to focus discussion and engage the research community to enhance the quality and harmonization of measures for IS health-related research and practice. We present the history, process, and preliminary data from the GEM Dissemination & Implementation (D&I) Campaign on IS measurement. RESULTS: The GEM D&I Campaign has been ongoing for eight weeks as of this writing, and has used a combination of expert opinion and crowd-sourcing approaches. To date it has listed definitions for 45 constructs and summarized information on 120 measures. Usage of the website peaked at a rate of 124 views from 89 visitors on week seven. Users from seven countries have contributed measures and/or constructs, shared experience in using different measures, contributed comments, and identified research gaps and needs. CONCLUSION: Thus far, this campaign has provided information about different IS measures, their associated characteristics, and comments. The next step is to rate these measures for quality and practicality. This resource and ongoing activity have potential to advance the quality and harmonization of IS measures and constructs, and we invite readers to contribute to the process

Social Impact

From the Dean: Make Space for Social Work; Perspectives: In the News: Social Work Faculty and Staff Comment on Civilian Service, Health Care Costs, and Native American Stereotypes; Perspectives: Civic Service Worldwide; Perspectives: The Future of Social Work Research with Enola K. Proctor; Interview: Q&A with Greg Echele; Scattered Image: Leaders in social work education agree that the profession has an image problem but remain at odds on the best way to change it.; Place, Space, & People: Traditionally two disparate fields, architecture and social work are interacting in new ways that involve communities in producing socially innovative design.; Sowing the Seeds of Knowledge: Quality doctoral education is needed to advance the social work knowledge base.; Notebook; Alumni News and Note

Effects of Gyejibongnyeong-hwan on dysmenorrhea caused by blood stagnation: study protocol for a randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>Gyejibongnyeong-hwan (GJBNH) is one of the most popular Korean medicine formulas for menstrual pain of dysmenorrhea. The concept of blood stagnation in Korean medicine is considered the main factor of causing abdominal pain, or cramps, during menstrual periods. To treat the symptoms, GJBNH is used to fluidify the stagnated blood and induce the blood flow to be smooth, reducing pain as the result. The purpose of this trial is to identify the efficacy of GJBNH in dysmenorrhea caused by blood stagnation.</p> <p>Methods</p> <p>This study is a multi-centre, randomised, double-blind, controlled trial with two parallel arms: the group taking GJBNH and the group taking placebo. 100 patients (women from age 18 to 35) will be enrolled to the trial. Through randomization 50 patients will be in experiment arm, and the other 50 patients will be in control arm. At the second visit (baseline), all participants who were already screened that they fulfil both the inclusion and the exclusion criteria will be randomised into two groups. Each group will take the intervention three times per day during two menstrual cycles. After the treatment for two cycles, each patient will be followed up during their 3^rd, 4^thand 5^thmenstrual cycles. From the screening (Visit 1) through the second follow-up (Visit 6) the entire process will take 25 weeks.</p> <p>Discussion</p> <p>This trial will provide evidence for the effectiveness of GJBNH in treating periodical pain due to dysmenorrhea that is caused by blood stagnation. The primary outcome between the two groups will be measured by changes in the Visual Analogue Score (VAS) of pain. The secondary outcome will be measured by the Blood Stagnation Scale, the Short-form McGill questionnaire and the COX menstrual symptom scale. Analysis of covariance (ANCOVA) and repeated measured ANOVA will be used to analyze the data analysis.</p> <p>Trial registration</p> <p>Current Controlled Trials: <a href="http://www.controlled-trials.com/ISRCTN30426947">ISRCTN30426947</a></p