More than Caring: Building a Foundation of Skills and Competencies to Teach Self-Advocacy in a Female-Dominated Profession

External patriarchal interventions and market-driven forces have limited professional advancements and autonomy of the female-dominated dental hygiene (DH) profession since its foundation. The DH profession defines itself though caring and advocating for public access to its essential services. However, the lack of voice and autonomy are reported causes of DH practitioner burnout and labour shortages. DH education lacks training and foundational skills for self-advocacy. This Dissertation-in-Practice (DiP) explores the organizational context of a South-Western Ontario DH college (SWO College or the school) and addresses a complex problem of practice (PoP) that recognizes the barriers, both past and present, that kept DH educators from teaching self-advocacy and recognizes the needs of these educators to develop the required skills and competencies. As change agent, my agency as a female DH educator supports a feminist lens to create novel ideas and solutions. A framework analysis of sociocultural recognition, political representation, and technical/economical distribution paradigms reveals rigid hierarchy and gender inequality in DH education. An envisioned future for SWO College supports collaborative bottom-up community of practice peer mentoring led by ethical and transformational leadership approaches. The ADKAR change model fosters an individualized focus on DH educators’ needs to acquire the knowledge, communication, and leadership components of self-advocacy. The PDSA cycle monitors and evaluates each change step. The DiP concludes with next steps and future considerations for the school

Exploring Capacity Building of Ontario Dental Hygiene Educators During National Curriculum Reform

In times of educational change, educators are given the task of implementing new initiatives that meet the needs of a changing environment; yet, they are often dismissed from developmental phases of the reform. This top-down structure deters educators’ personal capacity building as their knowledge, values, assumptions, and beliefs are not acknowledged or explicitly developed as part of the initiative. This study explored Ontario dental hygiene educators’ perspectives of how they may build personal capacity during an externally mandated national curriculum reform, the Entry-to-Practice Competencies and Standards for Canadian Dental Hygienists (National Competencies). Narratives were collected from 5 dental hygiene educators of diverse educational training and teaching organizations. Three themes emerged that included perceptions of structural influence, perceptions of learning access, and perceptions of identity. Each theme was linked to tasks that were required to build personal capacity for sustainable school change. The theoretical framework and the required tasks demonstrated the interconnectedness between educators, leaders, and the organization for building educators’ personal capacity

Full Spectroscopic Model and Trihybrid Experimental-Perturbative-Variational Line List for ZrO

Zirconium monoxide (ZrO) absorption lines define rare S-type stars and are currently being sought on exoplanets. Successful detection is dependent on an accurate and comprehensive line list, with existing data not ideal for many applications. Specifically, the Plez \etal{} line list is near-complete but has insufficient accuracy for high-resolution cross-correlation, while the Sorensen \& Bernath data has high accuracy but only considers a small number of spectral bands. This article presents a novel spectroscopic model, variational line list and trihybrid line list for the main \ZrO{} isotopologue, as well as isotopologue-extrapolated hybrid line lists for the \isoa{}, \isob{}, \isoc{}, \isod{}~and \isoe{} isotopologues. These were constructed using \DUO{} based on icMRCI-SD/CASSCF~\abinitio{} electronic data calculated using \MOLPRO{}, experimental energies obtained from a previous \Marvel{} data compilation and perturbative energies from Sorensen \& Bernath. The new \ZrO{} \EXOMOL{}-style trihybrid line list, \LLname{}, comprises \noenergies{} energies (\noMaenergies{} experimental) and \notransitions{} transitions up to 30,000~\cm{} (333~nm) between ten low-lying electronic states (\ZrOX{}, \ZrOaa{}, \ZrOA{}, \ZrObb{}, \ZrOB{}, \ZrOC{}, \ZrOdd{}, \ZrOee{}, \ZrOff{} and \ZrOF{}). The inclusion of experimental energy levels in \LLname{} means ZrO will be much easier to detect using high-resolution ground-based telescopes in the 12,500 -- 17,500~\cm{} (571 -- 800~nm) spectral region. The inclusion of variational energy levels means that the ZorrO line list has very high completeness and can accurately model molecular absorption cross-sections even at high temperatures. The \LLname{} data will hopefully facilitate the first detection of ZrO in the atmosphere of a hot Jupiter exoplanet, or alternatively more conclusively exclude its presence

Relationship between Cognitive Impairment and Behavioural Disturbances in Alzheimer's Disease Patients

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No effects of oral vitamin D supplementation on non-alcoholic fatty liver disease in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial

Background: Non-alcoholic fatty liver disease (NAFLD) is the most common hepatic disorder worldwide, reaching prevalence up to 90 % in obese patients with type 2 diabetes (T2D), and representing an independent risk factor for cardiovascular mortality. Furthermore, the coexistence of T2D and NAFLD leads to higher incidence of diabetes’ complications and additive detrimental liver outcomes. The existence of a close association between NAFLD and hypovitaminosis D, along with the anti-inflammatory and insulin-sensitizing properties of vitamin D, have been largely described, but vitamin D effects on hepatic fat content have never been tested in a randomized controlled trial. We assessed the efficacy and safety of 24-week oral high-dose vitamin D supplementation in T2D patients with NAFLD. Methods: This randomized, double-blind, placebo-controlled trial was carried out at the Diabetes Centre of Sapienza University, Rome, Italy, to assess oral treatment with cholecalciferol (2000 IU/day) or placebo in T2D patients with NAFLD. The primary endpoint was reduction of hepatic fat fraction (HFF) measured by magnetic resonance; as hepatic outcomes, we also investigated changes in serum transaminases, CK18-M30, N-terminal Procollagen III Propeptide (P3NP) levels, and Fatty Liver Index (FLI). Secondary endpoints were improvement in metabolic (fasting glycaemia, HbA1c, lipids, HOMA-IR, HOMA-β, ADIPO-IR, body fat distribution) and cardiovascular (ankle-brachial index, intima-media thickness, flow-mediated dilatation) parameters from baseline to end of treatment. Results: Sixty-five patients were randomized, 26 (cholecalciferol) and 29 (placebo) subjects completed the study. 25(OH) vitamin D significantly increased in the active treated group (48.15 ± 23.7 to 89.80 ± 23.6 nmol/L, P < 0.001); however, no group differences were found in HFF, transaminases, CK18-M30, P3NP levels or FLI after 24 weeks. Vitamin D neither changed the metabolic profile nor the cardiovascular parameters. Conclusions: Oral high-dose vitamin D supplementation over 24 weeks did not improve hepatic steatosis or metabolic/cardiovascular parameters in T2D patients with NAFLD. Studies with a longer intervention period are warranted for exploring the effect of long time exposure to vitamin D

Symptom appraisal in uncertainty: A theory-driven thematic analysis with survivors of childhood cancer

Objective: Somatic symptoms capture attention, demand interpretation, and promote health behaviors. Symptom appraisal is particularly impactful within uncertain health contexts such as cancer survivorship. Yet, little is known about how individuals make sense of somatic symptoms within uncertain health contexts, nor how this process guides health behaviors. Design: 25 adolescent and young adult survivors of childhood cancer completed semi-structured interviews regarding how they appraise and respond to changing somatic sensations within the uncertain context of survivorship. Main Outcome Measures: Interviews were transcribed verbatim and subjected to a hybrid deductive-inductive thematic analysis, guided by the Cancer Threat Interpretation model. Results: Theme 1 (‘symptoms as signals of bodily threat’) captured that participants commonly interpret everyday sensations as indicating cancer recurrence or new illness. Theme 2 (‘playing detective with bodily signals’) captured the cognitive and behavioral strategies that participants described using to determine whether somatic sensations indicated a health threat. These two themes are qualified by the recognition that post-cancer symptoms are wily and influenced by psychological factors such as anxiety (Theme 3: ‘living with symptom-related uncertainty’). Conclusions: These data highlight the need for novel symptom management approaches that target how somatic sensations are appraised and responded to as signals of bodily threat.<br/