A preferred vision for administering elementary and secondary schools : a reflective essay

There was a time the school principal\u27s job was clear and relatively simple - not easy, but simple. Everyone understood the role of the principal. That is no longer the case. In today\u27s society, the public education system in America is one that is fraught with dissension, politics and numerous other variables. Leaders and managers in the public sector are under far greater scrutiny than those in the public sector and the school principal is one position that is frequently caught in a maelstrom. This essay will explore the literature to identify the numerous characteristics, knowledge and skills that are linked to an effective principal

Clean Air v. Electric Reliability: The Case of the Potomac River Generating Station

Environmental activists considered the shutdown of the Potomac Station a victory for environmental sustainability and a victory for the cause of clean air. Additionally, citizens of Alexandria, Virginia found this to be a victory over the “outdated” polluting coal burning power plant. Looking at the history of the Potomac Station, however, shows that without significant increases in transmission capacity to the mid-Atlantic, the Potomac Station could never have been shut down. This article addresses the case of the Potomac Station and the role of the Department of Energy, the Environmental Protection Agency, the Virginia Department of Environmental Quality, and the Federal Energy Regulatory Commission in the shutdown of the Potomac Station to show that without an expansion in transmission capacity, the environmental concerns would not be enough to shut down the Potomac Station

Total Knee Arthroplasty and Iliotibial Band Syndrome: A Case Report

Background and Purpose: Total Knee Arthroplasty (TKA) is one of the most common joint replacements performed in orthopedic medicine. The decision to replace a knee is made through evaluation by an orthopedic surgeon, imaging of the joint, clinical presentation, and the patient\u27s individual needs and desires. Iliotibial band syndrome (ITBS) is a soft tissue dysfunction that can present as pain and tenderness in the hip, thigh, or knee. It primarily stems from rubbing or friction of the IT Band at the lateral femoral condyle. Pain caused by knee degeneration and pain from ITBS can have similar presentations and deserves research recognition. Case Description: The patient was a 67-year-old female attending physical therapy for a standard TKA protocol rehabilitation. She had been experiencing knee pain for 9 months prior to knee replacement. Steroid injections, joint aspiration, and meniscal debridement had been performed prior, with no reduction in pain symptoms. A TKA was performed and she was referred to physical therapy. Following concern that pain remained unchanged following the arthroplasty, re-evaluation revealed symptoms consistent with ITBS. Outcome: The patient was seen for 14 TKA visits, and 4 treatment visits that targeted the IT Band. Following the shift in intervention strategy, pain symptoms were reduced to nearly nonsymptomatic, a level which had not been achieved with prior treatments. Discussion: Research into pain presentation comparing knee degeneration and ITBS is very limited. Correct medical diagnosis is important in functional outcomes and patient satisfaction, and the relationship between these two diagnoses deserves further attention

A Vast-us Differential on Knee Pain

12 year-old male football player presents to the sports clinic for evaluation of 1.5 years of left lateral knee pain.https://scholarlycommons.henryford.com/merf2020caserpt/1053/thumbnail.jp