Moving Into the Future with New Dimensions and Strategies

Total Page:16

File Type:pdf, Size:1020Kb

Moving Into the Future with New Dimensions and Strategies WOMEN’S HEALTH RESEARCH HEALTH WOMEN’S A FOR 2020 FOR VISION NEW DIMENSIONS AND STRATEGIES: THE FUTURE WITH INTO MOVING MOVING INTO THE FUTURE WITH NEW DIMENSIONS AND STRATEGIES: A VISION FOR 2020 FOR WOMEN’S HEALTH RESEARCH PUBLIC TESTIMONY III VOLUME OFFICE OF RESEARCH ON WOMEN’S HEALTH NATIONAL INSTITUTES OF HEALTH U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES VOLUME III PUBLIC TESTIMONY U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES OF HEALTH DEPARTMENT U.S. OF HEALTH INSTITUTES NATIONAL HEALTH OFFICE OF RESEARCH ON WOMEN’S NIH Publication No. 10-7606-C Moving Into the Future With New Dimensions and Strategies: A Vision for 2020 for Women's Health Research Office of Research on Women’s Health National Institutes of Health VOLUME III PUBLIC TESTIMONY i The views expressed in this volume are solely those of individuals testifying at the public hearings and do not necessarily reflect the positions or judgments of the National Institutes of Health, the U.S. Department of Health and Human Services, or the Administration. U.S. Department of Health and Human Services, Public Health Service, National Institutes of Health, Office of Research on Women’s Health. (2010).Moving Into the Future With New Dimensions and Strategies: A Vision for 2020 for Women's Health Research. Bethesda, MD: National Institutes of Health. NIH Publication No. 10-7606-C Copies of this report and other publications of the Office of Research on Women’s Health are available at no charge from: Office of Research on Women’s Health National Institutes of Health 6707 Democracy Blvd., Suite 400, MSC 5484 Bethesda, Maryland 20892-5484 Fax: 301-402-1798 Voice: 301-496-8176 http://orwhpubrequest.od.nih.gov ii Table of Contents INTRODUCTION 1 PUBLIC TESTIMONY St. Louis Regional Meeting 5 San Francisco Regional Meeting 107 Providence Regional Meeting 252 Chicago Regional Meeting 355 Atlanta Regional Meeting 412 INDEXES Testimony Providers by name 440 Testimony Providers by organization 442 Subject Index 445 iii iv INTRODUCTION The Office of Research on Women’s Health (ORWH) was established in September 1990 in response to congressional, scientific, and advocacy concerns that a lack of systemic and con- sistent inclusion of women in NIH-supported clinical research could result in clinical decisions being made about health care for women based on findings from studies of men—without evi- dence that they were applicable to women. The Office was further established in statute in the NIH Revitalization Act of 1993 (Public Law 103–43). Congress codified the Office’s mission and included directives that expanded its leadership role in identifying and promoting research on women’s health. Since that time, the Office has been the focal point for guiding the national research effort on women’s health issues and is responsible for ensuring that women’s health research priorities are integrated into the wider NIH research agenda. The mission of ORWH is to: 1. advise the NIH Director on matters relating to research on women’s health; 2. strengthen and enhance research related to diseases, disorders, and conditions that affect women; 3. ensure that research conducted and supported by NIH adequately addresses issues regarding women’s health; 4. ensure that women are appropriately represented in biomedical and biobehavioral research studies supported by NIH; 5. develop opportunities for and support recruitment, retention, reentry, and advance- ment of women in biomedical careers; and 6. support research on women’s health issues. To advance a robust research agenda to guide women’s health research at the NIH, ORWH previously initiated two intensive planning initiatives, one beginning in 1991 and a second one in 1997. ORWH called upon experts in the fields of basic and clinical sciences, practitioners interested in women’s health, and representatives of professional and women’s organizations to develop specific and workable recommendations to advance research activities on behalf of the diversity of women and define the research priorities for women’s health research at the NIH. The first research agenda from 1991,The Report of the National Institutes of Health: Opportunities for Research on Women’s Health redefined the parameters of women’s health to encompass the life span going beyond the reproductive system and to better understand sex and gender differences between women and men in development, health, and disease. It also brought attention to the need to focus on populations of women that had been under- represented in clinical research. The 1997 report, Agenda for Research on Women’s Health for the 21st Century, expanded upon the initial scientific agenda for women’s health research and emphasized the relevance of the full spectrum of research from basic to clinical research, epi- demiological and population studies, translation into clinical applications and health outcomes, with continued emphasis on sex and gender comparisons and the introduction of an emphasis on interdisciplinary research on women’s health. 1 Science is dynamic and evolving at a remarkable pace with emerging knowledge from results of investigations and from new concepts of health and disease based on new technologies and approaches to research endeavors. Each decade has brought new discoveries, new under- standing of the intricacies of molecular contributions to health and the workings of the totality of the human body, and new opportunities to leverage the knowledge from science to improve human health and, specifically, women’s health. The first two reports ensured that women’s health rose to prominence within the national psyche, as well as within the research environ- ment. The next 10 years can bring new research advances with improved therapeutics based on sex differences with an expansion of the evidence based clinical application to women’s health care. Achieving new dimensions and innovative strategies for research is an important element of the NIH women’s health research agenda for the future. Moving Into the Future With New Dimensions and Strategies: A Vision for 2020 for Women’s Health Research Ten years after the last women’s health research agenda was updated, the ORWH launched a series of five regional scientific workshops and public hearings to ensure that research on women’s health continues to be on the cutting edge of science, based upon the most advanced techniques and methodologies. Four of the five regional scientific workshops were held during 2009, and the final was in 2010. The meetings were hosted by five universities: 1. Washington University, St. Louis, Missouri, March 4–6, 2009 2. University of California, San Francisco, May 27–29, 2009 3. Women and Infants Hospital/Brown University, Providence, Rhode Island, September 21–23, 2009 4. Northwestern University, Chicago, Illinois, October 21–23, 2009 5. Emory University, Atlanta, Georgia, February 16–17, 2010 The format of each of the regional scientific workshops was designed to promote an interac- tive discussion involving leading scientists from across the nation, women’s health advocates, public policy experts, health care providers, and the general public. Individuals representing the full spectrum of academic institutions, professional associations, advocacy organiza- tions, health care facilities interested in biomedical and behavioral research on women’s health and sex/gender issues, or those wishing to present their personal opinions on these issues were encouraged to provide both written and public testimony at each of the regional meet- ings. In each of the meetings, the ORWH Director challenged conference attendees to think beyond traditional women’s health issues in defining the women’s health research agenda of the future. Participants were asked to give attention to new areas of scientific application, innovative technologies, and sex differences research in basic and laboratory investigations. Clinical questions for which documented answers are still not evident were to be considered in determining research priorities, recognizing the importance of new health care and research paradigms that will be facing the Nation in the years ahead. 2 A total of 37 scientific and career development working groups were co-chaired by research scientists representing 44 academic institutions and 19 NIH institutes, centers and the Office of the Director. Participants came from thirty-three states, and scientists from Great Britain and Australia also contributed to the discussions. Scientific panels and concurrent workshops addressed a wide range of topics, from the interplay of research and health care to specific areas of research, resulting in nearly 400 recommendations. The working group reports and recommendations are found in the companion Volume II to the ORWH Strategic Plan. A key element of each of the regional meetings was the time devoted to receiving public tes- timony. From its earliest establishment, ORWH has actively welcomed input from advocacy organizations, health and disease interest groups, health care providers, and the general pub- lic. Over the years, public testimony has served as an important reality gauge to inform the research agenda-setting process. During the course of the five meetings, 141 organizations and individuals presented written and public testimony, always on the first day of the meeting. The testimonies from the meetings are found in Volume III of the ORWH Strategic Plan. At the conclusion of the five regional workshops, the working group reports and recommen- dations were synthesized by ORWH staff and the resulting document (Vol. 1) was reviewed by three separate groups: (1) the Advisory Committee on Research for Women’s Health (the non-Federal advisory committee to the Director of ORWH); (2) an outside group of experts in women’s health research convened April 14, 2010 at the NIH; and (3) the Coordinating Committee on Research on Women’s Health Research/NIH (composed of NIH institute and center directors or their designees). The final document, entitledMoving Into the Future With New Dimensions and Strategies: A Vision for 2020 for Women’s Health Research, represents the conclusion of an intensive 2-year national planning discussion.
Recommended publications
  • Defining the Role of the Urogynecology Nurse Practitioner: a Call to Contemporary Distinction Through Subspecialty Certification
    Copyright 2021 Society of Urologic Nurses and Associates (SUNA) All rights reserved. No part of this document may be reproduced or transmitted in any form without the written permission of the Society of Urologic Nurses and Associates. Defining uRologIC NuRSINg Defining the Role of the Urogynecology Nurse Practitioner: A Call to Contemporary Distinction through Subspecialty Certification Jennifer L. Cera, DNP, APRN-NP, WHNP-BC; Melanie Schlittenhardt, DNP, APRN, FNP-BC, CUNP; Amy Hull, DNP, WHNP-BC; and Susanne A. Quallich, PhD, ANP-BC, NPC, CUNP, FAUNA, FAANP Research 1.4 contact hours Urogynecology is emerging as a subspecialty role © 2021 Society of Urologic Nurses and Associates for nurse practitioners (NPs) whose focus is on pre- Cera, J.L., Schlittenhardt, M., Hull, A., & Quallich, S.A. (2021). vention and treatment of female urinary and fecal Defining the role of the urogynecology nurse practitioner: incontinence (also known as dual incontinence) and A call to contemporary distinction through subspecialty pelvic floor disorders (PFDs). An increased demand certification. Urologic Nursing, 41(3), 141-152. https:// for NPs with knowledge and expertise in this sub- doi.org/10.7257/1053-816X.2021.41.3.141 specialty is projected to grow considering the preva- lence of these conditions, the aging population, and This is the first survey conducted to examine the role of the current shortage of physicians who provide care the urogynecology nurse practitioner (NP) and highlights the need for the development of a current, distinct for this population. According to the U.S. Census description of the sub-specialty role. Descriptive statis- Bureau, by 2030, there will be a 35% increased tics were used to report the characteristics of the sam- demand in care for women with incontinence and ple group (N = 55).
    [Show full text]
  • A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues
    NORTH CAROLINA JOURNAL OF INTERNATIONAL LAW Volume 38 Number 2 Article 6 Winter 2013 A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues Kathleen Bradshaw Follow this and additional works at: https://scholarship.law.unc.edu/ncilj Recommended Citation Kathleen Bradshaw, A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues, 38 N.C. J. INT'L L. 601 (2012). Available at: https://scholarship.law.unc.edu/ncilj/vol38/iss2/6 This Note is brought to you for free and open access by Carolina Law Scholarship Repository. It has been accepted for inclusion in North Carolina Journal of International Law by an authorized editor of Carolina Law Scholarship Repository. For more information, please contact [email protected]. A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues Cover Page Footnote International Law; Commercial Law; Law This note is available in North Carolina Journal of International Law: https://scholarship.law.unc.edu/ncilj/vol38/iss2/ 6 A Discursive Approach to Female Circumcision: Why the United Nations Should Drop the One-Sided Conversation in Favor of the Vagina Dialogues KATHLEEN BRADSHAWt I. Introduction ........................................602 II. Background................................ 608 A. Female Circumcision ...................... 608 B. International Legal Response....................610 III. Discussion......................... ........ 613 A. Foreign Domestic Legislation............. ... .......... 616 B. Enforcement.. ...................... ...... 617 C. Cultural Insensitivity: Bad for Development..............620 1. Human Rights, Culture, and Development: The United Nations ................... ............... 621 2.
    [Show full text]
  • Program Speakers Guest Speakers Department of Radiology Susan L
    Program Speakers Guest Speakers Department of Radiology Susan L. Baker, MD Deidre D. Gunn, MD Director of Maternal-Fetal Medicine Assistant Professor Associate Professor, Obstetrics and Gynecology Reproductive Endocrinology & Infertility University of South Alabama Mobile, AL Jacqueline P. Hancock, MD Assistant Professor Mary E. D’Alton, MD Women’s Reproductive Healthcare Willard C. Rappleye Professor and Chairman, Obstetrics and Gynecology Lorie M. Harper, MD, MSCI Director, Obstetrics and Gynecology Services, New York-Presbyterian Associate Professor Hospital Maternal-Fetal Medicine Columbia University Director, Maternal-Fetal Medicine Fellowship Program New York, NY Kim H. Hoover, MD James W. Orr, Jr. MD, FACOG, FAGS Professor 21st Century Oncology Women’s Reproductive Healthcare Clinical Professor, Florida State School of Medicine Director, Pediatric and Adolescent Gynecology Fellowship Program Medical Director, FL Gynecologic Oncology & Regional Cancer Care Tera F. Howard, MD, MPH Fort Myers, FL Assistant Professor Carolyn A. Potter, MA Women’s Reproductive Healthcare Executive Director Warner K. Huh, MD The WellHouse Professor Odenville, AL Director, Gyn Oncology Kelly H. Tyler, MD, FACOG, FAAD Sheri M. Jenkins, MD Assistant Professor Professor Division of Dermatology Maternal Fetal Medicine Department of Obstetrics and Gynecology Ohio State University Todd R. Jenkins, MD Professor and Interim Chair Columbus, OH Director, Women’s Reproductive Healthcare Kenneth H. Kim, MD UAB Speakers* Associate Professor, Gyn Oncology Janeen L. Arbuckle, MD, PhD Associate Director, Gyn Oncology Fellowship Program Assistant Professor Morissa J. Ladinsky, MD Women’s Reproductive Healthcare Associate Professor Pediatric and Adolescent Gynecology Department of Pediatrics Rebecca C. Arend, MD Charles A. “Trey” Leath, III, MD Assistant Professor Professor Gyn Oncology Gyn Oncology Kerri S.
    [Show full text]
  • The Iconic News Image As Visual Event in Photojournalism and Digital Media
    Copyright is owned by the Author of the thesis. Permission is given for a copy to be downloaded by an individual for the purpose of research and private study only. The thesis may not be reproduced elsewhere without the permission of the Author. i The Iconic News Image as Visual Event in Photojournalism and Digital Media A thesis presented in partial fulfilment of the requirements for the degree of Master of Arts In Media Studies At Massey University, Manawatu New Zealand Samantha Diane Kelly 2013 ii Abstract This thesis shows how the uses and meanings of the iconic news image have changed with the emergence of digital media. Most of the iconic photographs of the twentieth century were produced by photojournalists and published in mass circulation newspapers and magazines. In the twenty–first century, amateurs have greater access to image producing technologies and greater capacity to disseminate their images through the Internet. This situation has made possible the use of iconic news images to support political agendas other than those promoted in the media institutions and beyond the range of censorship imposed by those media. In order to demonstrate the functions and understand this unprecedented situation, this thesis explores how iconic news images produce meaning. I consider formal definitions of iconic news images but adopt Nicholas Mirzoeff's theory of the visual event to explain how the meanings of iconic news images are impacted by historical context, media institutions and viewer responses. This dynamic model of visual communication allows us to see that iconic news images indeed function as events and that there is a political struggle over the creation, staging, publication and interpretation of those events.
    [Show full text]
  • Urogynecology
    Department of Gynecology Patient Instructions Urogynecology Urogynecology treats problems affecting the your bladder function in order to precisely female pelvic floor – the urologic, gynecologic, and determine what is causing your bladder problem. rectal organs which, along with the pelvic floor This will allow him/her to recommend treatments muscles, occupy the space between the pubic bone specifically designed for your care. In order to and the tail bone. evaluate your bladder function, you may be asked to complete a bladder diary, undergo a full pelvic Why do I need to see a Urogynecologist? exam, undergo bladder function testing As the name implies, urogynecologists have their (urodynamics), or undergo cystoscopy to examine expertise in gynecology, urology, and bowel the inside of your bladder. dysfunction in women. Due to the close proximity of the pelvic organs, there is a frequent What is Vaginal/Uterine Prolapse? coexistence of problems in adjacent organs. As Due to weakness of connective tissues, the uterus, such, women with a “dropped” vagina may also vagina, bladder, or rectum can drop into the have urinary incontinence or experience trouble vaginal canal and even through the vaginal with bowel movements. It opening. This is termed prolapse. This is analogous is estimated that more than 45% of women will at to a hernia which can occur along the lower some point have problems with bladder control, abdomen due to weakness of the tissue in the 10% have problems with prolapse (dropping) of lower abdominal wall. Prolapse can result in the pelvic organs, and 10% of women may require urinary incontinence if the bladder has prolapsed surgery for correction of these problems.
    [Show full text]
  • Urogynecology and Reconstructive Pelvic Surgery Zeyad Lee Nagasaki University, Brazil
    www.jbcrs.org Urogynecology and Reconstructive Pelvic Surgery Zeyad Lee Nagasaki University, brazil Abstract: Biography: Urogynecology a specialized field of gynecology and obstetrics Due to its ionization radiation, the length of your time it takes to that deals with female pelvic medicine and plastic surgery. image pelvic organs, and its limited ability to contrast soft tissues, Urogynecologists are doctors who diagnose and treat pelvic floor CT has not been used extensively to review pelvic floor disorders. It conditions like weak bladder or pelvic organ prolapse (your remains effective in imaging abdominal and pelvic masses and is a organs drop because the muscles are weak). The pelvic floor is superb technique to review suspected postoperative pelvic that the area of the body that houses your bladder, genital system, hematomas and abscesses the most focus of this special issue is on and rectum. Urogynecologists complete school of medicine and a new and existing diagnostic and treatment methods for pelvic floor residency in Obstetrics and Gynecology or Urology. These disorders. The articles summarize current approaches to the doctors are specialists with additional training and knowledge treatment of those disorders and appearance into the longer term by within the evaluation and treatment of conditions that affect the discussing possible novel interventions for the treatment of pelvic feminine pelvic organs, and therefore the muscles and animal floor dysfunction. The primary paper of this issue, published by a tissue that support the organs. Many, though not all, complete gaggle of clinicians from Netherlands, explores the association of formal fellowships (additional training after residency) that POP severity and subjective pelvic floor symptoms.
    [Show full text]
  • Study Protocol and Statistical Analysis Plan
    Postoperative Environment 1 RESEARCH PROTOCOL Date 7/20/20 Title The influence of postoperative environment on patient satisfaction and perception of care following pelvic reconstructive surgery Principal Investigator Rachel N. Pauls, MD Sub-Investigators Catrina Crisp MD MSc, Jennifer Yeung DO, Tiffanie Tam MD, Emily Aldrich MD Research Specialist Eunsun Yook MS, Department Department of OB/Gyn, Division of Urogynecology and Reconstructive Pelvic Surgery Hatton # 17-076 NCT # 03379753 Purpose of Study To determine the influence of homeopathic therapies such as music therapy and images of calming nature scenes in their hospital suite following vaginal reconstructive surgery for pelvic organ prolapse on parameters of recovery such as pain, satisfaction and perception of care. o Primary Aim: To determine if patients following prolapse repair including vaginal vault suspension have decreased pain measured via a visual analog scale (VAS) on postoperative day one and just prior to discharge when exposed to the diad of music, and positive images compared to patients receiving standard care. o Secondary Aims: To determine if patients following prolapse repair including vaginal vault suspension have improved satisfaction scores and perception of care when exposed to the diad of music, and positive images compared to patients receiving standard care. Hypothesis or Research Question We hypothesize that patients exposed to alternative therapies such as music, and calming nature scenes will have decreased VAS scores for pain following vaginal reconstructive surgery when compared to controls. We further hypothesize that patients who experience the modified post-operative environment will report an improvement in overall satisfaction when providing their Postoperative Environment 2 overall hospital rating and will be more likely to refer their friends to the hospital for care in the future, as measured by the HCAHPS and VAS satisfaction scores.
    [Show full text]
  • Surgical Techniques
    SURGICAL TECHNIQUES ■ BY DEE E. FENNER, MD, YVONNE HSU, MD, and DANIEL M. MORGAN, MD Anterior vaginal wall prolapse: The challenge of cystocele repair What’s the best strategy? Repairs often fail and the literature is inconclusive. Three experts analyze what we can learn from the limited studies to date, and offer tips on technique. sk a pelvic reconstructive surgeon to above the hymen, since the patient rarely name the most difficult challenge, reports symptoms in these cases. Aand the answer is likely to be anteri- Another challenge involves the use of or vaginal wall prolapse. The reason: The allografts or xenografts, which have not anterior wall usually is the leading edge of undergone sufficient study to determine their prolapse and the most common site of relax- long-term benefit or risks in comparison with ation or failure following reconstructive sur- traditional repairs. gery. This appears to hold true regardless of This article reviews anatomy of the ante- surgical route or technique. rior vaginal wall and its supports, as well as Short-term success rates of anterior wall surgical technique and outcomes. repairs appear promising, but long-term out- comes are not as encouraging. Success usually Why the anterior wall is claimed as long as the anterior wall is kept is more susceptible to prolapse ne theory is that, in comparison with the KEY POINTS Oposterior compartment, the anterior ■ At this time, the traditional anterior colporrhaphy wall is not as well supported by the levator with attention to apical suspension remains the plate, which counters the effects of gravity gold standard.
    [Show full text]
  • Silence the Shame at American Sushi Recording Studio
    The Silence the Shame movement launched in 2016, and Nick Cannon became the rst Artist/ Entertainer to endorse Silence the Shame (STS) for our viral In 2017/2018, Silence the Shame launched campaign. social media campaigns that garnered more than 90 million impressions and received online support from musicians and inuencers across the country. Silence the Shame at American Sushi Recording Studio In July 2017, American Sushi Recording Studio and The Black Media hosted an intimate mental health discussion in their Little 5 Points Studio in Atlanta, Georgia. The room was full of music creatives that appreciated Shanti's unique point of view. & In June 2017, Founder Shanti Das joined Singer Lalah Hathaway, Rapper Vic Mensa, Singer Charlie Wilson, and Dr. Reef Karim for a panel discussion called The Health of Hip-Hop and R&B moderated by Justin Hunte. The event took placed in Los Angeles at The Grammy Museum. That marked the beginning of our relationship with MusiCares. In partnership with the Grammy’s Foundation, MusiCares, panel discussion were curated for creatives and executives in the music industry that enabled a safe space to discuss mental health and wellness in the music industry. The rst panel, Soundtrack of Mental Health, occurred in May 2018 in Atlanta and was In 2019 STS kicked o Mental Health Awareness live-streamed via Rolling Out. The panelists Month (May) in New York City with The included Founder Shanti Das, Rapper David Soundtrack of Mental Health Vol. 2 at Island Banner, Producer Bryan Michael Cox, Vaughn Gay Records. Panelists included Founder Shanti Das, (Licensed Counselor), Music Exec David Lighty, Media Mogul Charlamagne the God, Manager and Renowned Vocal Coach Mama Jan Smith.
    [Show full text]
  • New Advances in Urogynecology
    Obstetrics and Gynecology International New Advances in Urogynecology Guest Editors: Lior Lowenstein, Peter L. Rosenblatt, Hans Peter Dietz, Johannes Bitzer, and Kimberly Kenton New Advances in Urogynecology Obstetrics and Gynecology New Advances in Urogynecology Guest Editors: Lior Lowenstein, Peter L. Rosenblatt, Hans Peter Dietz, Johannes Bitzer, and Kimberly Kenton Copyright © 2012 Hindawi Publishing Corporation. All rights reserved. This is a special issue published in volume 2012 of “Obstetrics and Gynecology.” All articles are open access articles distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Editorial Board Sean Blackwell, USA Howard D. Homesley, USA Julian T. Parer, USA Diane C. Bodurka, USA Shi-Wen Jiang, USA Faustino R. Perez-L´ opez,´ Spain Curt W. Burger, The Netherlands Marc J. N. C. Keirse, Australia Tonse N.K. Raju, USA Linda D. Cardozo, UK Russell K. Laros Jr., USA Neal S. Rote, USA Nancy Chescheir, USA Jonathan Ledermann, UK Giovanni Scambia, Italy Robert Coleman, USA Kimberly K. Leslie, USA Peter E. Schwartz, USA W. T. Creasman, USA Lawrence D. Longo, USA John J. Sciarra, USA Mary E. D’Alton, USA G. A. Macones, USA J. L. Simpson, USA Gian Carlo Di Renzo, Italy Everett Magann, USA Anil Sood, USA Keith A. Eddleman, USA James A. McGregor, USA Wiebren A. A. Tjalma, Belgium Edmund F. Funai, USA Liselotte Mettler, Germany J. R. Van Nagell, USA Thomas Murphy Goodwin, USA Daniel R. Mishell, USA John M. G. van Vugt, The Netherlands WilliamA.Grobman,USA Bradley J. Monk, USA M.
    [Show full text]
  • Construction of Racial and Math Learner Identities in Eight African American Adolescents at Flower Academy
    ABSTRACT Title of Document: EMBRACING MATHEMATICS IDENTITY IN AN AFRICAN-CENTERED SCHOOL: CONSTRUCTION AND INTERACTION OF RACIAL AND MATHEMATICAL STUDENT IDENTITIES Farhaana Nyamekye, Ph.D, 2010 Directed By: Associate Professor of Mathematics Education, Daniel Chazan, Curriculum and Instruction This dissertation is a report of a multiple case study of eight seventh grade African American students attending an African-centered school. This African-centered school is attended solely by children of African descent and adheres to a system of African cultural values, focusing on culture, relationships, and academic excellence. The report provides in depth case analyses of two of these students as they navigate their multiple identities. The foci of the analyses are on the students‟ construction of their math learner identities and racial identities and on their construction of both of these identities taken together. Phenomenological variant of ecological systems theory illuminates the challenges and supports that these students encounter in constructing their identities. The mathematics and racial socialization practices within the school and within the students‟ home environments are documented within this report as support mechanisms that provide opportunities for the students to construct identities as African American mathematics learners. The findings suggest that academic spaces that reduce the stress of racism and help students to value their racial identity may be particularly important spaces for other African American mathematics learners. The findings also have positive implications for the implementation of African and African American cultural practices and programs that can help other African American learners to positively construct identities as both African Americans and math learners. The documented findings raise critical questions about whether other African American learners, despite the heterogeneity within this population, would benefit from African-centered schooling.
    [Show full text]
  • Title of Clerkship: Urogynecology Elective Elective Year: Third Year Elective Department: Obstetrics and Gynecology Type Of
    Title of Clerkship: UroGynecology Elective Elective Year: Third Year Elective Department: Obstetrics and Gynecology Type of Elective: Clinical __x__ Clerkship Site: ProMedica Toledo and Flower Hospitals and Parkway Surgery Center Course Number: OBGY 766 Blocks Available: ALL Number of Students/Block: 1 Coordinating Faculty: Dr. Dani Zoorob Elective Description/Requirements: The Third Year Elective in UroGynecology is a 4-week clinical rotation during which students participate in the evaluation and treatment of middle-aged and mature women with concerns related to pelvic organ prolapse, urinary incontinence, and pelvic floor dysfunction. The Third Year Elective’s premise is one that provides the opportunity for a student to develop medical and surgical skillsets in UroGynecology. The context also stresses the more active role of a student in the diagnosis, workup, and management of these conditions within a controlled-learning environment at the UroGynecology office as well as in the Operating Room. The student will be observing pessary fittings and urodynamics procedures - and will be involved in patient identification, findings, and case analysis. Furthermore, the student will join the pelvic floor physical therapist sessions where treatments for management of pelvic pain and pelvic floor dysfunction are offered. Related education will be provided by the involved doctor in pelvic floor physical therapy. Through this exposure, the student will further develop interpersonal and communication skills with members of the healthcare team as well as with patients/families. The student is expected to contribute to the patient plan development based on high-quality, safe, evidence-based, cost-effective and individualized care. Day-to-day activities include the following: evaluation of new patients, writing notes on patients, patient presentation to faculty, short presentations when in clinic regarding topics pre-selected by the course mentor, assisting in surgical cases.
    [Show full text]