Her Story: Forming a Woman\u27s Voice in the Pulpit

Story is a paradigm for how women shape their preaching identity. Women preachers benefit from developing their voice through the stories of women in scripture, and the voices of women from the past and present day who have found their authentic preaching voices. Shaping a voice through story is a model in which the preaching identity can develop, and as a result minimizes insecurity, stress and fear around the craft of preaching. Section One defines the preaching identity and examines the elements that form identity. It explores the challenges that have impacted how women understand their role in preaching. Section Two identifies and analyzes the other approaches writers have taken to support women preachers in voice development. This includes voice retrieval, voice restoration and spiritual work. It concludes by suggesting where these approaches fall short and what is needed to develop a meaningful preacher identity. Section Three presents the theological argument of the power of story as a possible solution. Looking first at how stories are formidable tools to shape identity, story, is presented and evaluated as a paradigm to develop and strengthen women’s voice in preaching and ministry. Section Four and Five contain a book proposal for She Proclaims: Stories of Women Who Preach. This book will be written to help women preachers think about the craft of proclamation through the stories of exemplary women preachers. Section Six provides a postscript and suggestions for further research

Validation of evidence-Based Fall Prevention Programs for adults with intellectual and/or developmental disorders: a modified otago exercise Program

Introduction: Evidence-based fall prevention (EBFP) programs significantly decrease fall risk, falls, and fall-related injuries in community-dwelling older adults. To date, EBFP programs are only validated for use among people with normal cognition and, therefore, are not evidence-based for adults with intellectual and/or developmental disorders (IDD) such as Alzheimer’s disease and related dementias, cerebral vascular accident, or traumatic brain injury. Background: Adults with IDD experience not only a higher rate of falls than their community-dwelling, cognitively intact peers but also higher rates and earlier onset of chronic diseases, also known to increase fall risk. Adults with IDD experience many barriers to health care and health promotion programs. As the lifespan for people with IDD continues to increase, issues of aging (including falls with associated injury) are on the rise and require effective and efficient prevention. Methods: A modified group-based version of the Otago Exercise Program (OEP) was developed and implemented at a worksite employing adults with IDD in Montana. Participants were tested pre- and post-intervention using the Center for Disease Control and Prevention’s (CDC) Stopping Elderly Accidents Deaths and Injuries (STEADI) tool kit. Participants participated in progressive once weekly, 1-h group exercise classes and home programs over a 7-week period. Discharge planning with consumers and caregivers included home exercise, walking, and an optional home assessment. Results: Despite the limited number of participants (n = 15) and short length of participation, improvements were observed in the 30-s Chair Stand Test, 4-Stage Balance Test, and 2-Minute Walk Test. Additionally, three individuals experienced an improvement in ambulation independence. Participants reported no falls during the study period. Discussion: Promising results of this preliminary project underline the need for further study of this modified OEP among adults with IDD. Future multicenter study should include more participants in diverse geographic regions with longer lengths of participation and follow-up

Corticosteroid Injections For Frozen Shoulder: A Global Online Survey Of Health Professionals’ Current Practice And Opinion

© 2023 World Physiotherapy.Background: Frozen shoulder is a disabling condition characterised by persistent and severe pain and loss of shoulder movement. Corticosteroid injections are targeted at reducing pain in the earlier painful phase (Ahn et al., 2018; Sun, Liu, Chen, & Chen, 2018). Currently, there are no clear guidelines regarding medicines and dose to inject and if this should be under ultrasound or landmark guidance or if an injection should even be considered. This uncertainty results in a range of methods of injections for frozen shoulder. Purpose: To investigate the current practice and opinion of global healthcare providers on injections for frozen shoulder. Methods: Methods An online questionnaire survey was used to investigate current practice and opinions on injections for frozen shoulder. The survey used JISC https://www.onlinesurveys.ac.uk/ and was disseminated via the social media platform Twitter™. It was available for 5 weeks in spring 2022. Further recruitment involved sharing the link once completed creating a ‘snowball’ effect. Results: The total number of respondents was 235 from 33 different countries across 6 continents of which (n=213, 90.6%) were Physical Therapists/Physiotherapists. Other professions were Orthopaedic Consultant (n=10, 4.3%), Sports and Medicine Doctor (n=4, 1.7%), Osteopath (n=3, 1.3%), Physiatrist (n=2, 0.9%), myotherapist (n=1, 0.4%), Radiologist (n=1, 0.4%), Sonographer (n=1, 0.4%). Most people (n=154, 65.5%) reported seeing between one and two cases of FS a week. Only (n=35, 14.9%) respondents neither injected nor referred for injection. The majority (n =155, 66%) reported injections have an important role in the management of frozen shoulder and 191 (81.3%) reported that corticosteroid injections are best administered only during the pain greater than stiffness phase. The glenohumeral joint (GHJ) was most frequently reported as the site to inject (n=136, 57.9%). Triamcinolone Acetonide (TA) was the most frequently reported (n=66, 28.1%) corticosteroid to inject the GHJ and of these, the most frequently reported dose was 40 mg/ml (n= 52, 78.8%). Doses ranged from 10mg/ml to 40mg/ml. Triamcinolone Acetonide was the most frequently reported (n=44, 18.7%) substance to inject for the subacromial space and of these, the most frequently reported dose was 40mg/ml (n=27, 61.4%). Doses ranged from 10mg/ml to 40mg/ml. Lidocaine was the most frequently reported anaesthetic: GHJ (n= 109, 46.4%). Of those who expressed an opinion (n=96, 40.7%) reported the injection should be performed under ultrasound guidance. Conclusion(s): There was overall consensus for the use of corticosteroid injections in frozen shoulder. However, the wide variety of doses and lack on convincing consensus on method of delivery, mirrors the uncertainty in the literature. In some respects, the delivery of injection therapy is probably based on personal preference or local guidance in the absence of universally agreed guidance. Further research should investigate medicine, dose, and method of delivery of corticosteroid injection. Other treatments such as hydrodistension or suprascapular nerve blocks were reported by respondents, and it would be of value to investigate current practice and opinion for both interventions. Implications: This survey highlights the need for injectors to ensure they are benchmarking their practice against current best evidence whilst acknowledging there are gaps in the literature. Keyword 1: Online survey Keyword 2: Corticosteroid injections Keyword 3: Frozen shoulder Funding acknowledgements: No funding was received for this project. Did this work require ethics approval?: Yes Institution: University of Hertfordshire Ethics committee: University of Hertfordshire ECDA Ethical approval number: Ethical approval was granted by Ref: HSK PRG UH 04693 Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2023?: No Consent: Yes Consent: Ye

Does physical therapy improve symptoms of fibromyalgia?

Physical therapy is minimally effective in the treatment of fibromyalgia, with immediate post-treatment improvement in pain and tender points, and both short- and longer-term improved self-efficacy (confidence in performing tasks) (strength of recommendation [SOR]: B, 1 small, high-quality randomized controlled trial, 4 additional small randomized controlled trials). Multidisciplinary rehabilitation is probably not effective for this disorder but warrants future research, as trial quality is poor (SOR: B, systematic review of 4 small or low-quality and 3 additional randomized controlled trials on widespread pain conditions)

Efficient Detection of Phthalate Esters in Human Saliva via Fluorescence Spectroscopy

The detection of phthalates in human biologic fluids remains an important research objective because it provides an important measure of an individual’s exposure to this class of compounds, which have known deleterious health effects. Moreover, the ability to accomplish such detection in fluids that are easy to collect, such as saliva and urine, provides additional practical advantages. Reported herein is the application of cyclodextrin-promoted fluorescence energy transfer and fluorescence modulation to accomplish precisely such detection: the development of sensitive and selective florescence-based detection methods for phthalates in saliva, an easily collectable human biologic fluid. Such saliva-based detection methods occur with high levels of selectivity (100% differentiation) and sensitivity (limits of detection as low as 0.089 µM), and provide significant potential in the development of practical phthalate detection devices

Democracy Derived? New Trajectories in Pluripotent Stem Cell Research

How has the development of human induced pluripotent stem cells (hiPSCs) modified the trajectory of stem cell research? Here, coauthorship networks of stem cell research articles and analysis of cell lines used in stem cell research indicate that hiPSCs are not replacing human embryonic stem cells, but instead, the two cell types are complementary, interdependent research tools. Thus, we conclude that a ban on funding for embryonic stem cell research could have unexpected negative ramifications on the nascent field of hiPSCs

Prospectus, February 19, 2014

CHRISTIE CLINIC ILLINOIS MARATHON FAST APPROACHING IN CHAMPAIGN, Construction to Bring Many Improvements for Parkland, Allerton Spring Break Program Needs More Volunteers for 2014, Do Smartphone Traffic Apps Really Work?, Effective Listening a Good Tool for Students, Coca-Cola Commercial Receives Mixed Reactions, Comcast/Time Warner Merger Isn\u27t That Bad, Cobra\u27s Softball Enters 2014 Season, Cobra Men\u27s Basketball Lose at Wood, PC Women\u27s Basketball Start Fast, Finish Strong, Making Their Mark: Surveying the Historical and Cultural Contributions of Black Womenhttps://spark.parkland.edu/prospectus_2014/1004/thumbnail.jp

Banner News

https://openspace.dmacc.edu/banner_news/1400/thumbnail.jp

Corticosteroid injections for non-spinal musculoskeletal conditions. Consideration of local and systemic adverse drug reactions and side effects

© New Zealand Journal of Physiotherapy. This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives CC BY-NC-ND licence, https://creativecommons.org/licenses/by-nc-nd/4.0/Following specialist training, physiotherapists in some countries, such as the United Kingdom and Norway perform landmark, and ultrasound guided, soft tissue and joint injections for a wide range of musculoskeletal conditions. Whether they inject or not, physiotherapists may wish to recommend injections, and people requiring care commonly seek physiotherapist’s opinions on injection therapy. Globally, there has been a substantial increase in the use of corticosteroid injections to treat musculoskeletal conditions. Those performing injections or providing advice need be cognisant of the possible harms of the procedures and communicate this information sensitively to those considering the procedures. This review synthesises evidence for local and systemic adverse reactions and side effects related to corticosteroid injections in the treatment of non-spinal musculoskeletal conditions. Multiple databases including PubMed, Medline, PEDro, Cinahl were searched, and all levels of evidence were included if they added to the review. Serious adverse events appear to be rare, possibly in part, due to under-reporting of side effects. Where available, suggestions for minimising risk and aftercare have been made. As substantial gaps in the evidence were found, areas for further research are suggested and a decision-making tool is included to facilitate whether to proceed to injection, proceed with precaution or no injection.Peer reviewe

The do-not-resuscitate order: A comparison of physician and patient preferences and decision-making

The purpose of this study was to compare the decision-making and preferences regarding do-not-resuscitate (DNR) orders of a group of family physicians with a group of outpatients from a family practice center. Complete results of the outpatient questionnaire were published in a previous study by the authors. A random sample of 202 members of the Michigan Academy of Family Practice and all 32 members of the University of Michigan Department of Family Practice were surveyed by a mailed questionnaire. The questionnaire was divided into five parts: demographics, past experiences with DNR orders, who should be involved in DNR decision-making, values clarification, and a series of scenarios matched by a variety of biomedical and non-biomedical factors. After eliminating physicians who had left no forwarding address or who had retired or died, the overall response rate was 61.8%. Most physicians (97%) had at some time written a DNR order for one of their patients; discussions most commonly took place in the hospital room. Physicians, like patients, thought that in addition to the patient, DNR decisions should involve the spouse, the physician, and the patient's children, respectively. Value clarification revealed that both groups most highly value "being able to think clearly" and "being treated with dignity." The presence of a number of quality-of-life issues (age, drug or alcohol use, wheelchair use, dementia, and severe pain) in a series of scenarios negatively affected the decision of both family physicians and patients to resuscitate. There are significant similarities and differences in the way physicians and patients make DNR decisions. It is important that physicians and their patients communicate in a timely manner about prognosis, values, and quality-of-life issues in order to make effective DNR decisions.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/29149/1/0000191.pd