Beverly Robinson to Peter Kean

Receipt from Beverly Robinson that Peter Kean paid $4666.66 to own 1/6 of the town of Moira, NY.https://digitalcommons.kean.edu/lhc_1810s/1077/thumbnail.jp

Beverly Robinson to Peter Kean, July 16, 1828

Beverly Robinson wrote from New York, NY to Peter Kean, addressed to Elizabethtown, NJ. He wrote about accusations made by Henry Gahn in connection with a court case between him and Susan Ursin Niemcewicz and about lending money.https://digitalcommons.kean.edu/lhc_1820s/1112/thumbnail.jp

Papers delivered by Mr. Pennington to Beverly Robinson

A list of accounts and papers related to Peter Philip James Kean delievered to Beverly Robinson by Mr. Pennington. People Included: Susan Ursin Niemcewicz, J. Kearny, R. Watts, Hudson G. Ried + Co. Julia Lawrencehttps://digitalcommons.kean.edu/lhc_1820s/1119/thumbnail.jp

Beverly Robinson to Peter Kean, March 31, 1826

Beverly Robinson wrote from New York, NY to Peter Kean, addressed to Elizabethtown, NJ regarding financial matters involving Henry Gahn. People Included: J. L. Lawrence, Susan Ursin Niemcewiczhttps://digitalcommons.kean.edu/lhc_1820s/1078/thumbnail.jp

Beverly Robinson to Peter Kean, June 14, 1827

Beverly Robinson wrote from New York to Peter Kean, addressed to Elizabethtown, NJ regarding a power of attorney for the Bayard\u27s and a legal case against Henry Gahn. People Included: John McIntosh, Mr. Hale, Mr. Beverly, Bayardhttps://digitalcommons.kean.edu/lhc_1820s/1087/thumbnail.jp

Optimizing efficiency and skill utilization: Analysis of genetic counselors’ attitudes regarding delegation in a clinical setting

This study assessed genetic counselors’ (GCs) perceptions of delegation as a tool to increase workforce efficiency and help meet the current gap between the number of genetic service providers and the number of patients. GCs were recruited to participate via an online survey that assessed activities (categorized as typical genetic counseling, administrative, or professional development) performed by a clinical genetic counselor. Respondents indicated which activities represent their largest time consumers, their willingness to delegate these activities, and barriers to and perceived outcomes of delegation. Overall, respondents indicated that they spend 25% of their time performing administrative activities that they would largely be willing to delegate; however, respondents were generally unwilling to delegate many typical genetic counseling and professional development activities, citing concerns regarding accuracy and liability, and highlighting the belief that these activities constitute the core role of a genetic counselor. Respondents indicated that delegation of time‐consuming administrative activities would increase access to genetic services and improve job satisfaction. Additionally, differences were identified among clinical specialties regarding which activities were selected as top time consumers, indicating that potential targets of re‐allocation of time or delegation may be variable. This research indicates a need to reduce the number of administrative tasks in which GCs are directly involved to re‐allocate time toward core responsibilities, direct patient care, and professional development, the result of which is more efficient use of the GC skill‐set.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154327/1/jgc41181.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154327/2/jgc41181_am.pd

Payload Accommodations in NASA's Space Launch System, Block 1 and Beyond

As part of NASA's new deep space exploration system, the Space Launch System (SLS) will provide the United States with guaranteed access to deep space and an unparalleled capability for launching primary and co-manifested payloads beyond Earth's orbit. Planned missions for the new SLS family of vehicles include launching the Orion spacecraft and elements of the new Gateway astronaut-tended outpost to lunar orbit and sending robotic probes deep into the solar system, such as to Jupiter's moon Europa. If mission parameters allow, secondary payloads in 6U, 12U or larger sizes will also have rideshare opportunities, providing CubeSats with access to deep space. The SLS vehicle will evolve into progressively more powerful variants with fairings in several sizes available to meet an array of mission needs. Superior mass, volume and characteristic energy (C3) enable sending larger, heavier payloads to a variety of destinations. Several elements of the Block 1 vehicle for the first mission, Exploration Mission-1 (EM-1) are complete and have been delivered to the Exploration Ground Systems (EGS) Program at Kennedy Space Center (KSC), which has responsibility for integrating and launching the vehicle. Contractors are already at work manufacturing the second Block 1 vehicle and incorporating numerous lessons learned in manufacturing America's first super heavy-lift deep space rocket since the Apollo Program's Saturn V enabled humankind to take a giant leap forward

Qualitative Analysis of Cancer Care Experiences Among Rural Cancer Survivors and Caregivers

PURPOSE: Rural (vs urban) patients experience poorer cancer outcomes and are less likely to be engaged in cancer prevention, such as screening. As part of a community needs assessment, we explored rural cancer survivors\u27 and caregivers\u27 experiences, perceptions, and attitudes toward cancer care services. METHODS: We conducted 3 focus groups (N = 20) in Spring 2021 in rural Nebraska. FINDINGS: Three patterns of cancer diagnosis were regular care/screening without noticeable symptoms, treatment for symptoms not initially identified as cancer related, and symptom self-identification. Most participants, regardless of how diagnosis was made, had positive experiences with timely referral for testing (imaging and biopsy) and specialist care. Physician interpersonal skills set the tone for patient-provider communication, which colored the perception of overall care. Participants with physicians and care teams that were perceived as considerate, compassionate, and caring had positive experiences. Participants identified specific obstacles to care, including financial barriers, transportation, and lack of support groups, as well as more general cultural barriers. Survivors and caregivers identified organization-based supports that helped them address such barriers. CONCLUSIONS: Rural populations have unique perspectives about cancer care. Our results are being used by the state cancer coalition, state cancer control program, and the National Cancer Institute-designated cancer center to prioritize outreach and interventions aimed to reduce rural cancer disparities, such as revitalizing lay cancer navigator programs, conducting webinars for primary care and cancer specialty providers to discuss these findings and identify potential interventions, and collaborating with national and regional cancer support organizations to expand reach in rural communities

Qualitative analysis of cancer care experiences among rural cancer survivors and caregivers

Purpose Rural (vs urban) patients experience poorer cancer outcomes and are less likely to be engaged in cancer prevention, such as screening. As part of a community needs assessment, we explored rural cancer survivors’ and caregivers’ experiences, perceptions, and attitudes toward cancer care services. Methods We conducted 3 focus groups (N = 20) in Spring 2021 in rural Nebraska. Findings Three patterns of cancer diagnosis were regular care/screening without noticeable symptoms, treatment for symptoms not initially identified as cancer related, and symptom self-identification. Most participants, regardless of how diagnosis was made, had positive experiences with timely referral for testing (imaging and biopsy) and specialist care. Physician interpersonal skills set the tone for patient-provider communication, which colored the perception of overall care. Participants with physicians and care teams that were perceived as “considerate,” “compassionate,” and “caring” had positive experiences. Participants identified specific obstacles to care, including financial barriers, transportation, and lack of support groups, as well as more general cultural barriers. Survivors and caregivers identified organization-based supports that helped them address such barriers. Conclusions Rural populations have unique perspectives about cancer care. Our results are being used by the state cancer coalition, state cancer control program, and the National Cancer Institute-designated cancer center to prioritize outreach and interventions aimed to reduce rural cancer disparities, such as revitalizing lay cancer navigator programs, conducting webinars for primary care and cancer specialty providers to discuss these findings and identify potential interventions, and collaborating with national and regional cancer support organizations to expand reach in rural communities