The Black Maternal and Cultural Healing in Twentieth Century Black Women\u27s Fiction

This work examines representations of maternal relationships between black women in five contemporary novels: Their Eyes Were Watching God by Zora Neale Hurston, Sula by Toni Morrison, The Salt Eaters by Toni Cade Bambara, The Color Purple by Alice Walker and Louisiana by Erna Brodber. Rather than situating the origins of black feminist literary studies during the Black Women’s Literary Renaissance of the 1970s and 1980s, I argue that Hurston’s work shapes contemporary black feminist literary studies. In Their Eyes Were Watching God, Nanny provides a mothering archetype that inspires a dominant theme and practice—the black maternal, within contemporary black women’s fiction, specifically the Black Women’s Literary Renaissance of the 1970s and 80s—an era greatly inspired by second-wave Black feminism. Contemporary black women writers use the black maternal to demonstrate how mothering relationships culturally heal communities of the socially constructed diseases of racism, classism, sexism, and heterosexism. To this end, my research draws upon Patricia Hill Collins’ critical social theory of othermothering, which argues the centrality of non-kin and extended family maternal relationships between black women as integral to their personal agency as well as the sociopolitical progression of their communities. Additionally, my analyses of the novels included in this study reveal six themes in contemporary black women’s fiction: self-love, resistance, community, afrocentrist folk sensibility, power of the ancestral and spirituality. These themes function alongside the black maternal in shaping black feminist literary studies

Backlash against gender equality is arising in new forms

Backlash is a negative, hostile or aggressive reaction to a political idea. The term has been applied to civil and race rights. Recently however, it has been prominent in politics, business and the media, as an opposing stance to initiatives designed to advance women’s rights and social status

Generation, gender, and leadership : Metaphors and images

This article explores the metaphors and images used by different generations of women to describe women's leadership in higher education (HE) and the impact these perceptions have on their careers and career ambitions. It also explores how such metaphors and images can position them as “other,” silence their voices in the dominant masculinist discourse, and marginalize them. The emphasis in the gender and higher education literature has been on identifying the barriers that impede women's progress in academic organizations, including images of continuing hegemonic masculine leadership, and their promotion to leadership positions. These models position women leaders who are assertive as troublemakers, and women as “the problem” either because of their attitudes or perceived domestic and family responsibilities. And while women leaders are often not gender conscious, they are frequently doing gender in their senior roles. The metaphors and images that portray women's leadership are often of hidden work, supporting more senior males, or “ivory basement” leadership. Combined, they suggest a deficit model that positions women as lacking for top jobs, and institutions therefore needing to “fix the women” generally through leadership development programmes, sponsorship and mentoring. The article examines the metaphors and images used to describe women's leadership across two generations. Older women often saw their leadership as conforming to male leadership models, as fitting in, and not challenging or unsettling their male colleagues. However, a younger generation of leaders or prospective leaders had a very different set of metaphors for their leadership. They saw themselves as unsupported by what they described as the current mediocre, institutional leaders, weighed down by inexorable organizational restructure, and merely in survival mode. Hence, they refused to accept the masculinist leadership model which they perceived as ineffectual, outdated and not meeting their needs. The article suggests that the prevailing culture in higher education leadership and the metaphors and images used to describe successful leadership narrows the options for women leaders. While older women were prepared to accept current masculinist leadership, younger women had contempt for the way it marginalized them while at the same time encouraging them to lift their game and had a different set of metaphors and images to portray what successful leadership should look like. © Copyright © 2020 Burkinshaw and White

Helping Dependent Readers Use the Web

A teacher educator, an elementary school teacher, and an integration specialist share web-based strategies to help struggling readers improve comprehension

Bridging Aging and Domestic Violence Services in Our Communities

Educational Objectives 1. To describe the problem of domestic violence in later life. 2. To show how the operating principles and service approaches of aging (APS and aging network) and domestic violence service providers differ and may cause them to interpret the same situation differently. 3. To encourage aging and domestic violence service providers to share information, expertise, resources, and philosophical perspectives with one another in order to improve the community response to older battered women

Performance of formulae based estimates of glomerular filtration rate for carboplatin dosing in stage 1 seminoma

<b>Background:</b> Single cycle carboplatin, dosed by glomerular filtration rate (GFR), is standard adjuvant therapy for stage 1 seminoma. Accurate measurement of GFR is essential for correct dosing. Isotopic methods remain the gold standard for the determination of GFR. Formulae to estimate GFR have improved the assessment of renal function in non-oncological settings. We assessed the utility of these formulae for carboplatin dosing.<p></p> <b>Methods:</b> We studied consecutive subjects receiving adjuvant carboplatin for stage 1 seminoma at our institution between 2007 and 2012. Subjects underwent 51Cr-ethylene diamine tetra-acetic acid (EDTA) measurement of GFR with carboplatin dose calculated using the Calvert formula. Theoretical carboplatin doses were calculated from estimated GFR using Chronic Kidney Disease-Epidemiology (CKD-EPI), Management of Diet in Renal Disease (MDRD) and Cockcroft–Gault (CG) formulae with additional correction for actual body surface area (BSA). Carboplatin doses calculated by formulae were compared with dose calculated by isotopic GFR; a difference <10% was considered acceptable.<p></p> <b>Results:</b> 115 patients were identified. Mean isotopic GFR was 96.9 ml/min/1.73 m2. CG and CKD-EPI tended to overestimate GFR whereas MDRD tended to underestimate GFR. The CKD-EPI formula had greatest accuracy. The CKD-EPI formula, corrected for actual BSA, performed best; 45.9% of patients received within 10% of correct carboplatin dose. Patients predicted as underdosed (13.5%) by CKD-EPI were more likely to be obese (p = 0.013); there were no predictors of the 40.5% receiving an excess dose.<p></p> <b>Conclusions:</b> Our data support further evaluation of the CKD-EPI formula in this patient population but clinically significant variances in carboplatin dosing occur using non-isotopic methods of GFR estimation. Isotopic determination of GFR should remain the recommended standard for carboplatin dosing when accuracy is essential.<p></p&gt

Nonadherence to treatment protocol in published randomised controlled trials: a review.

RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.This review aimed to ascertain the extent to which nonadherence to treatment protocol is reported and addressed in a cohort of published analyses of randomised controlled trials (RCTs). One hundred publications of RCTs, randomly selected from those published in BMJ, New England Journal of Medicine, the Journal of the American Medical Association and The Lancet during 2008, were reviewed to determine the extent and nature of reported nonadherence to treatment protocol, and whether statistical methods were used to examine the effect of such nonadherence on both benefit and harms analyses. We also assessed the quality of trial reporting of treatment protocol nonadherence and the quality of reporting of the statistical analysis methods used to investigate such nonadherence. Nonadherence to treatment protocol was reported in 98 of the 100 trials, but reporting on such nonadherence was often vague or incomplete. Forty-two publications did not state how many participants started their randomised treatment. Reporting of treatment initiation and completeness was judged to be inadequate in 64% of trials with short-term interventions and 89% of trials with long-term interventions. More than half (51) of the 98 trials with treatment protocol nonadherence implemented some statistical method to address this issue, most commonly based on per protocol analysis (46) but often labelled as intention to treat (ITT) or modified ITT (23 analyses in 22 trials). The composition of analysis sets for their benefit outcomes were not explained in 57% of trials, and 62% of trials that presented harms analyses did not define harms analysis populations. The majority of defined harms analysis populations (18 out of 26 trials, 69%) were based on actual treatment received, while the majority of trials with undefined harms analysis populations (31 out of 43 trials, 72%) appeared to analyse harms using the ITT approach. Adherence to randomised intervention is poorly considered in the reporting and analysis of published RCTs. The majority of trials are subject to various forms of nonadherence to treatment protocol, and though trialists deal with this nonadherence using a variety of statistical methods and analysis populations, they rarely consider the potential for bias introduced. There is a need for increased awareness of more appropriate causal methods to adjust for departures from treatment protocol, as well as guidance on the appropriate analysis population to use for harms outcomes in the presence of such nonadherence