The impact of the depressed economic condition of the area on the personnel practices in the textile industry in Fall River, Massachusetts

Thesis (M.B.A.)--Boston Universit

Atlantic Monthly; Negro Spirituals (Reprint); 1867

https://digitalcommons.buffalostate.edu/magazines-books/1008/thumbnail.jp

Letter from Thomas Wentworth Higginson, to Anne Whitney, 1864 November 27

https://repository.wellesley.edu/whitney_correspondence/1836/thumbnail.jp

Letter from Thomas Wentworth Higginson, Worcester, Massachusetts, to Anne Whitney, 1853 January 29

https://repository.wellesley.edu/whitney_correspondence/1835/thumbnail.jp

Letter from Thomas Wentworth Higginson, Worcester, Massachusetts, to Anne Whitney, 1852 December 2

https://repository.wellesley.edu/whitney_correspondence/1834/thumbnail.jp

Mary Potter Thacher Higginson Correspondence

Entries include some correct biographical information and a handwritten letter on personal stationery

Assessment of subacromial space and its relationship with scapular upward rotation in college baseball players.

CONTEXT: Subacromial impingement is a common injury in baseball players and has been linked to a reduction in the subacromial space. In addition, it has been suggested that decreases in scapular upward rotation will lead to decreases in the subacromial space and ultimately impingement syndrome. OBJECTIVE: The objective of this study was to evaluate the relationship between acromiohumeral distance and scapular upward rotation in healthy college baseball players. DESIGN: Posttest-only study design. SETTING: Controlled laboratory setting. PARTICIPANTS: 24 healthy college baseball players. Intervention: Participants were measured for all dependent variables at preseason. MAIN OUTCOME MEASURES: Acromiohumeral distance at rest and 90° of abduction was measured with a diagnostic ultrasound unit. Scapular upward rotation at rest and 90° of abduction was measured with a digital inclinometer. RESULTS: Dominant-arm acromiohumeral distance at rest and 90° of abduction (P = .694, P = .840) was not significantly different than in the nondominant arm. In addition, there was not a significant correlation between acromiohumeral distance and scapular upward rotation at rest and 90° of abduction for either the dominant or the nondominant arm. CONCLUSIONS: These results indicate that the acromiohumeral distance is not adapting in the dominant arm in healthy throwing athletes. In addition, a relationship was not identified between acromiohumeral distance and scapular upward rotation, which was previously suggested. These results may suggest that changes that are typically seen in an injured population may be occurring due to the injury and are not preexisting. In addition, scapular upward rotation may not be the only contributing factor to acromiohumeral distance

The TEAM Approach to Improving Oncology Outcomes by Incorporating Palliative Care in Practice

Palliative care (PC) concurrent with usual oncology care is now the standard of care that is recommended for any patient with advanced cancer to begin within 8 weeks of diagnosis on the basis of evidence-driven national clinical practice guidelines; however, there are not enough interdisciplinary palliative care teams to provide such care. How and what can an oncology office incorporate into usual care, borrowing the tools used in PC randomized clinical trials (RCTs), to improve care for patients and their caregivers? We reviewed the multiple RCTs for common practical elements and identified methods and techniques that oncologists can use to deliver some parts of concurrent interdisciplinary PC. We recommend the standardized assessment of patient-reported outcomes, including the evaluation of symptoms with such tools as the Edmonton or Memorial Symptom Assessment Scales, spirituality with the FICA Spiritual History Tool or similar questions, and psychosocial distress with the Distress Thermometer. All patients should be assessed for how they prefer to receive information, their current understanding of their situation, and if they have considered some advance care planning. Approximately 1 hour of additional time with the patient is required each month. If the oncologist does not have established ties with spiritual care and social work, he or she should establish these relationships for counseling as required. Caregivers should be asked about coping and support needs. Oncologists can adapt PC techniques to achieve results that are similar to those in the RCTs of PC plus usual care compared with usual care alone. This is comparable to using data from RCTs of trastuzamab or placebo, adopting what was used in the RCTs without modification or dilution

The PAMINO-project: evaluating a primary care-based educational program to improve the quality of life of palliative patients

<p>Abstract</p> <p>Background</p> <p>The care of palliative patients challenges the health care system in both quantity and quality. Especially the role of primary care givers needs to be strengthened to provide them with the knowledge and the confidence of applying an appropriate end-of-life care to palliative patients. To improve health care services for palliative patients in primary care, interested physicians in and around Heidelberg, Germany, are enabled to participate in the community-based program 'Palliative Medical Initiative North Baden (PAMINO)' to improve their knowledge in dealing with palliative patients. The impact of this program on patients' health and quality of life remains to be evaluated.</p> <p>Methods/Design</p> <p>The evaluation of PAMINO is a non-randomized, controlled study. Out of the group of primary care physicians who took part in the PAMINO program, a sample of 45 physicians and their palliative patients will be compared to a sample of palliative patients of 45 physicians who did not take part in the program. Every four weeks for 6 months or until death, patients, physicians, and the patients' family caregivers in both groups answer questions to therapy strategies, quality of life (QLQ-C15-PAL, POS), pain (VAS), and burden for family caregivers (BSFC). The inclusion of physicians and patients in the study starts in March 2007.</p> <p>Discussion</p> <p>Although participating physicians value the increase in knowledge they receive from PAMINO, the effects on patients remain unclear. If the evaluation reveals a clear benefit for patients' quality of life, a larger-scale implementation of the program is considered. </p> <p><b>Trial registration</b>: The study was registered at ‘current controlled trials (CCT)’, registration number: ISRCTN78021852.</p

Concord Companions: Margaret Fuller, Friendship, and Desire

In this paper, we examine the rhetoric of friendship and desire in mid-nineteenth-century American writing. We begin by looking at Emerson's essay on friendship and Thoreau's poem "Sympathy" (1840) to provide a context for reading Margaret Fuller's fascinating texts on samesex bonds between women. Of particular interest to us is Fuller's translation of Elizabeth von Arnim's Die Gunderode (1840), a collection of letters between Arnim and the German Romantic poet Karoline von Gunderode which provides compelling insights into the early to mid-nineteenth-century continuum between female friendship and same-sex desire. We situate this translation alongside Fuller's own female friendships and expressions of love for women, more specifically her declarations of love to Anna Barker and, later, to George Sand. This latter relationship, we suggest, was a source of admiration and anxiety, for Sand's cross-dressing and fluid sense of gender identity was simultaneously celebrated and condemned in Fuller's Women in the Nineteenth Century (1843)