Winter Site Fidelity in Secretive Marsh Sparrows Along the Coast of South Carolina

Salt marshes, which are threatened by sea level rise and development, provide habitat for a distinctive suite of specialized vertebrates, and knowledge of the life histories of salt marsh specialists may help preserve salt marsh fauna in the face of change. I studied wintering site fidelity of Seaside (Ammodramus maritimus), Saltmarsh (A. caudacutus) and Nelson\u27s (A. nelsoni) Sparrows by mist-netting and banding birds at six sites in two salt marshes in South Carolina. I banded 261 sparrows over two winters, 2009-2010 and 2010-2011, and recaptured 92. Across-year return rates were high, but significantly different across species: 43% for Seaside, 63% for Saltmarsh, and 14% for Nelson\u27s Sparrows. Ninety-one sparrows were recaptured at their original banding site, but only one individual moved between banding sites (420m). Relative abundance of the three species varied between marshes and across banding sites within North Inlet marsh. These results indicate that these sparrows are very site faithful, which may make individuals especially vulnerable to habitat change

God Speaks to Us, Too: Southern Baptist Women on Church, Home, and Society

Raised as a Southern Baptist in Rome, Georgia, Susan M. Shaw earned graduate degrees from the Southern Baptist Theological Seminary in Louisville, Kentucky, was ordained a Southern Baptist minister, and prepared herself to lead a life of leadership and service among Southern Baptists. However, dramatic changes in both the makeup and the message of the Southern Baptist Convention during the 1980s and 1990s (a period known among Southern Baptists as “the Controversy”) caused Shaw and many other Southern Baptists, especially women, to reconsider their allegiances. In God Speaks to Us, Too: Southern Baptist Women on Church, Home, and Society, Shaw presents her own experiences, as well as those of over 150 other current and former Southern Baptist women, in order to examine the role, identity, and culture of women in the largest Protestant denomination in the country. The Southern Baptist Convention was established in the United States in 1845 after a schism between Northern and Southern brethren over the question of slavery. Shaw sketches the history of the Southern Baptist faith from its formation, through its dramatic expansion following World War II, to the Controversy and its aftermath. The Controversy began as a successful attempt by fundamentalists within the denomination to pack the leadership and membership of the Southern Baptist Convention (the denomination’s guiding body) with conservative and fundamentalist believers. Although no official strictures prohibit a Southern Baptist woman from occupying the primary leadership role within her congregation—or her own family—rhetoric emanating from the Southern Baptist Convention during the Controversy strongly discouraged such roles for its women, and church leadership remains overwhelmingly male as a result. Despite the vast difference between the denomination’s radical beginnings and its current position among the most conservative American denominations, freedom of conscience is still prized. Shaw identifies “soul competency,” or the notion of a free soul that is responsible for its own decisions, as the principle by which many Southern Baptist women reconcile their personal attitudes with conservative doctrine. These women are often perceived from without as submissive secondary citizens, but they are actually powerful actors within their families and churches. God Speaks to Us, Too reveals that Southern Baptist women understand themselves as agents of their own lives, even though they locate their faith within the framework of a highly patriarchal institution. Shaw presents these women through their own words, and concludes that they believe strongly in their ability to discern the voice of God for themselves. Susan M. Shaw is associate professor of women’s studies at Oregon State University. She is the author or coauthor of several books, including Girls Rock! Fifty Years of Women Making Music. If anyone ever thought Southern Baptist women were meek, mild, and uniformly submissive, this book assures them that they have another thing coming. Susan Shaw found that while some of the women she interviewed believed they should submit to their husbands in theory, most believed strongly in their ability and responsibility to think and act for themselves. —Susan Willhauck, Wesley Theological Seminary Dr. Shaw presents a thought-provoking glimpse into the professional lives and personal thoughts of women who have \u27succeeded\u27 in professions previously preserved only for men within Southern Baptist life. Paying attention to the internal as well as the external struggles of these professionals, she gives the reader a well-rounded analysis of the grit, determination and commitment of these women to following what they perceive as God\u27s call on their lives, no matter what the consequences. Any person who is wrestling with questions about the role of women, professionally, within conservative, evangelical faith systems will find this book informative. For those women who are currently in the struggle for professional acceptance within conservative evangelicalism, Shaw\u27s work will provide inspiration and encouragement. The struggle is worth the prize. —Rosalie Beck, Department of Religion, Baylor University Shaw demonstrates to the reader how these women reconcile their personal attitudes with conservative doctrine and how they are influential players within their churches and families. —Tennessee Historical Commission This work serves as a spiritual balm, showing that there are many options available to women who have discovered how unlikely age-old patriarchy is to budge. —Christian Ethics Today God Speaks to Us, Too is not just a book for scholars, though it is an important contribution to the fields of women’s- and religious studies. Compelling and accessible enough to be read by ordinary Southern Baptists as well, the book is likely to find a broad audience. —Journal of Baptist Studies This volume will be of greatest interest to women who, like those interviewed, are or have been active in Southern Baptist churches and ministries. The light, conversational style and graciously sympathetic interviewing will make the book attractive to public library or church library patrons. Recommended. —Choice Shaw offers an excellent perspective on the role gender has played in the reconstruction of Southern Baptist identity. —Journal of Church and State Shaw’s combination of humor, self-reflexivity, extensive Baptist history, and attention to the unique aspects of southern culture that construct Southern Baptist women’s identities makes God Speaks to Us, Too a solid read for anyone interested in women and religion. —Church History Susan Shaw has put together a rich new primary source of material revealing the minds, words, and experiences of 159 women who grew up Southern Baptist during the twentieth century. —Baptist History and Heritage The book\u27s conversational style is reminiscent of a memoir rather than a dry academic tome. In eminently readable prose, Shaw effectively conveys the ideas and opinions of a myriad of Southern Baptist women whose voices have too long been underrepresented in studies of southern religion. —Journal of Southern Religionhttps://uknowledge.uky.edu/upk_history_of_religion/1006/thumbnail.jp

An experience of practitioners navigating the role of patient/caregiver

This journey involved one of us having (repeat) intraspinal surgery in a country far from home but of a similar culture and with the same first language. The carer travelled across the world to be present during the hospital stay. We kept a journal during our admission, and following discharge realised there were significant differences between how we had documented our experience and the record presented in the clinical notes. The particular examples we present illustrate the relationships, rules and issues that we navigated. We share our experience in the form of moments from our journal, some of them alongside information recorded in the clinical notes for the corresponding timeframe. This provides insights into differing narratives between the experiences of the patient/caregiver and practitioners. We recommend that individual practitioners and organisations consider the lived experience of patients and how they consciously engage with patients/carers to address the risk of ‘othering’

Self-selecting peer groups formed within the laboratory environment have a lasting effect on individual student attainment and working practices.

Within the present study, we investigate the lasting effect of laboratory peer group interactions on the end of year attainment of bioscience and chemistry students. By asking students to identify who they primarily work with within the laboratory environment and evaluating the interactions through cluster analysis, we identified two main categories of laboratory peer groups. The first long-lived well-established pairings of two students, "swans", who work together for all or the majority of the laboratory sessions and the second dynamic fluid groups, "dolphins", of between three to nine students who work with each other interchangeably. Statistical analysis is presented, which demonstrates that individuals within each lab peer group were likely to achieve a similar average mark at the end of the first year of study on the course. We identified the driving factors for the formation of these groups as friendship and perceived work ethic. There is a preference for high achieving students to work with other high achieving students and lower-achieving to group around a shared social background. Targeted interventions, in which pairings were selected by the tutor at the onset of the study, altered the ratio from long-lived pairs to more dynamic groups and increased students willingness to work with others outside of their group but did not change the drivers of group formation or resulting pattern of achievement. We conclude with recommendations around group working within the laboratory environment

Food Safety Posters for Safe Handling of Leafy Greens

This article describes food safety educational tools depicting safe handling of leafy greens that are available as downloadable posters to Extension educators and practitioners (www.extension.iastate.edu). Nine visual-based minimal-text colored posters in English, Chinese, and Spanish were developed for use when formally or informally educating foodservice workers about safely handling leafy greens. A three-phase methodology included the use of expert knowledge, microbial sampling, and observational study in Iowa and Kansas foodservice operations. Use of the posters was shown to have positive impacts on both microbial levels and food safety behaviors, suggesting that the posters can be useful tools for Extension personnel

"I Decided to Invest in My Kids' Memories": Family Vacations, Memories, and the Social Construction of the Family

This article explores the cultural significance of family vacations and the role that these vacations play in the social construction of the family. Based on a series of semistructured interviews with members of families living in Ontario, Canada, the article examines the meanings and experiences associated with family vacations for parents of school aged children. Family vacations were seen as a form of escape from the pressures of everyday life, even though they involved organizational and emotional work, especially for mothers. Family vacations were valued as an opportunity for family togetherness and for improving patterns of family communication. Of particular importance was the long-term goal of creating memories that would enhance family cohesion and construct and support a positive sense of family. The findings indicate that the cultural meanings associated with family vacations, at least for these Canadian families, may be different in some important ways from other forms of tourism

Changes In Rural Affinity Among Rural Medical Students As They Experience Education In An Urban Setting

Abstract Introduction The maldistribution of physicians in the United States has led to a shortage of healthcare providers in rural areas and rural patients being underserved. A physician’s connections to rural settings, including upbringing and medical training, often influence the decision to practice in rural areas. This study examines opinions from medical students who participated in a regional rural campus track, which includes summer immersion programs, rural-focused sessions, and clinical rotations. The authors hypothesized that Rural Track students experience urban disruption, and their opinions about rural living and practice would become increasingly less positive over time while students lived at the urban campus for preclinical coursework. Materials and Methods The Rural Health Opinion Survey (RHOS), a previously published measure of opinions concerning living and practicing in rural areas, was administered to students at one public medical school located in Louisville, Kentucky. Factor analysis was performed on each of the three sections of the survey (items related to rural living, patients in rural areas, and physicians in rural areas), and composite subscale scores were calculated for each student. The first phase of this large longitudinal study reported here uses t-tests to compare pre- and post-test scores for 36 students in the Rural Track program. Scores of M1/M2 students who were based at the urban campus were also compared to M3/M4 students who had returned to the rural campus. Results Ninety-two percent (36/39) of Rural Track students completed both pre- and post-surveys, and of these respondents, 89% percent (32/36) grew up in a hometown with fewer than 30,000 people. Overall scores were not significantly different between Rural Track M1/M2 in the urban setting and the Rural Track M3/M4 students based at the rural campus. M3/M4 students showed a differential positive opinion over time of rural comfortable living that approached significance and agreed less that the rural physician workload is heavier. M1/M2 students expressed more positive opinions over time about availability of quality service. Both groups showed strong agreement over time that rural patients are more motivated. Discussion Our hypothesis that Rural Track students on the urban campus would show increasingly less positive opinions about rural health and practice was not supported. Students may not have experienced urban disruption because of the Rural Track curriculum elements, and/or time in the urban environment may have reinforced rural affinity by providing new perspective on the positive aspects of rural settings. Further research and efforts are necessary to identify critical points of reconnection for medical students and to support rural affinity within medical school curriculum. Upcoming research efforts will address the overall hypothesis that Rural Track students’ continued connection to rural settings generates more positive opinions about rural living and practice as compared to opinions from students with rural backgrounds who spend all four years of medical school in the urban setting

Towards standard setting for patient-reported outcomes in the NHS homeopathic hospitals

We report findings from a pilot data collection study within a programme of quality assurance, improvement and development across all five homeopathic hospitals in the UK National Health Service (NHS).<p></p> <b>Aims</b> (1) To pilot the collection of clinical data in the homeopathic hospital outpatient setting, recording patient-reported outcome since first appointment; (2) to sample the range of medical complaints that secondary-care doctors treat using homeopathy, and thus identify the nature and complexity of complaints most frequently treated nationally; (3) to present a cross section of outcome scores by appointment number, including that for the most frequently treated medical complaints; (4) to explore approaches to standard setting for homeopathic practice outcome in patients treated at the homeopathic hospitals.<p></p> <b>Methods</b> A total of 51 medical practitioners took part in data collection over a 4-week period. Consecutive patient appointments were recorded under the headings: (1) date of first appointment in the current series; (2) appointment number; (3) age of patient; (4) sex of patient; (5) main medical complaint being treated; (6) whether other main medical complaint(s); (7) patient-reported change in health, using Outcome Related to Impact on Daily Living (ORIDL) and its derivative, the ORIDL Profile Score (ORIDL-PS; range, –4 to +4, where a score ≤−2 or ≥+2 indicates an effect on the quality of a patient's daily life); (8) receipt of other complementary medicine for their main medical complaint.<p></p> <b>Results</b> The distribution of patient age was bimodal: main peak, 49 years; secondary peak, 6 years. Male:female ratio was 1:3.5. Data were recorded on a total of 1797 individual patients: 195 first appointments, 1602 follow-ups (FUs). Size of clinical service and proportion of patients who attended more than six visits varied between hospitals. A total of 235 different medical complaints were reported. The 30 most commonly treated complaints were (in decreasing order of frequency): eczema; chronic fatigue syndrome (CFS); menopausal disorder; osteoarthritis; depression; breast cancer; rheumatoid arthritis; asthma; anxiety; irritable bowel syndrome; multiple sclerosis; psoriasis; allergy (unspecified); fibromyalgia; migraine; premenstrual syndrome; chronic rhinitis; headache; vitiligo; seasonal allergic rhinitis; chronic intractable pain; insomnia; ulcerative colitis; acne; psoriatic arthropathy; urticaria; ovarian cancer; attention-deficit hyperactivity disorder (ADHD); epilepsy; sinusitis. The proportion of patients with important co-morbidity was higher in those seen after visit 6 (56.9%) compared with those seen up to and including that point (40.7%; P < 0.001). The proportion of FU patients reporting ORIDL-PS ≥ +2 (improvement affecting daily living) increased overall with appointment number: 34.5% of patients at visit 2 and 59.3% of patients at visit 6, for example. Amongst the four most frequently treated complaints, the proportion of patients that reported ORIDL-PS ≥ +2 at visit numbers greater than 6 varied between 59.3% (CFS) and 73.3% (menopausal disorder).<p></p> <b>Conclusions</b> We have successfully piloted a process of national clinical data collection using patient-reported outcome in homeopathic hospital outpatients, identifying a wide range and complexity of medical complaints treated in that setting. After a series of homeopathy appointments, a high proportion of patients, often representing “effectiveness gaps” for conventional medical treatment, reported improvement in health affecting their daily living. These pilot findings are informing our developing programme of standard setting for homeopathic care in the hospital outpatient context

A Randomized, Controlled Trial of In-Home Drinking Water Intervention to Reduce Gastrointestinal Illness

Trials have provided conflicting estimates of the risk of gastrointestinal illness attributable to tap water. To estimate this risk in an Iowa community with a well-run water utility with microbiologically challenged source water, the authors of this 2000-2002 study randomly assigned blinded volunteers to use externally identical devices (active device: 227 households with 646 persons; sham device: 229 households with 650 persons) for 6 months (cycle A). Each group then switched to the opposite device for 6 months (cycle B). The active device contained a 1-microm absolute ceramic filter and used ultraviolet light. Episodes of highly credible gastrointestinal illness, a published measure of diarrhea, nausea, vomiting, and abdominal cramps, were recorded. Water usage was recorded with personal diaries and an electronic totalizer. The numbers of episodes in cycle A among the active and sham device groups were 707 and 672, respectively; in cycle B, the numbers of episodes were 516 and 476, respectively. In a log-linear generalized estimating equations model using intention-to-treat analysis, the relative rate of highly credible gastrointestinal illness (sham vs. active) for the entire trial was 0.98 (95% confidence interval: 0.86, 1.10). No reduction in gastrointestinal illness was detected after in-home use of a device designed to be highly effective in removing microorganisms from water