An Internship at Charleston Junior High

The internship at Charleston Junior High School consisted of a program conducted during the spring semester of 1978 in cooperation with the Educational Administration Department at Eastern Illinois University. The author assumed many different responsibilities in order to gain experience to prepare for a position as a school administrator. Under the direction of Mr. John Dively, Principal at Charleston Junior High School, and Mr. James Hill, Assistant Principal at Charleston Junior High School, activities in the following areas were exposed to the intern: Opening School Day Closing School Day Budgeting Student problems (discipline) Parental problems Computer scheduling Spend a few days with Jim Hill Inventory Summer maintenance Secretarial Janitorial Overall supervision of building Bus problems Working with counselor Other The internship provided many rewarding experiences concerning educational administration. The author feels that the day she was acting principal provided the most realistic and memorable experiences. During the internship a wide range of knowledge was obtained concerning the roles of principal and assistant principal. Some of the observations made by this intern concerning those roles are the following: that the principal or assistant principal\u27s day is very difficult to plan due to many unforeseen interruptions. that many school personnel expect the principal or assistant principal to have easy solutions to all problems. that the principal is responsible for all personnel and students in any type of situation. that the principal and assistant principal are expected to be informed of what is going on in the school. that the principal and assistant principal often must cooperate with city and county agencies concerning students. Perhaps the most time-consuming duties of the principal and assistant principal during the spring semester included student scheduling and teacher evaluations. The internship helped the author refine thoughts and ideas of the educational process and has provided the experience and necessary skills for becoming an effective administrator. It has also helped the author develop a feeling of confidence and satisfaction in the administrative field

Addressing Sexuality: The Comfort and Preparedness of Occupational Therapy Students

Undergraduate sexual health education has the potential to increase confidence and the likelihood that healthcare professionals address sexual health in practice. This study explored Australian final year occupational therapy students’ perceptions about their education, and their preparedness and comfort to address sexuality in their final practice placements and into their future careers. An online questionnaire with three sections for (a) demographics; (b) the students\u27 attitudes towards sexual health (SA-SH) questionnaire, which is a 22-item Likert scale about student attitudes toward sexual health issues in their future profession; and (c) nine open questions regarding students’ comfort and preparedness to address sexuality was used. The SA-SH scores of the 51 participants indicated 18 felt comfortable and well prepared; 30 felt comfortable and prepared in some situations and three participants felt uncomfortable and unprepared. Qualitative responses revealed: students considered sexuality was an important occupation; curriculum content meant they were most prepared to address sexuality with older people; personal values, gender, age, and culture factors influenced their preparedness; and comfort would increase with knowledge and experience. This paper demonstrates that both preparedness and comfort are required for occupational therapists to address sexuality effectively. The occupational therapy curriculum needs to focus on developing problem solving and practical skills using sexuality specific content, in particular how to initiate and respond when clients raise the topic. In conjunction with improvements to the curriculum, professional practice supervisors were identified as important educators as they can provide opportunities to address sexuality with clients and share their experiences while students are on placement

Addressing sexuality : The comfort and preparedness of occupational therapy students

Undergraduate sexual health education has the potential to increase confidence and the likelihood that healthcare professionals address sexual health in practice. This study explored Australian final year occupational therapy students’ perceptions about their education, and their preparedness and comfort to address sexuality in their final practice placements and into their future careers. An online questionnaire with three sections for (a) demographics; (b) the students' attitudes towards sexual health (SA-SH) questionnaire, which is a 22-item Likert scale about student attitudes toward sexual health issues in their future profession; and (c) nine open questions regarding students’ comfort and preparedness to address sexuality was used. The SA-SH scores of the 51 participants indicated 18 felt comfortable and well prepared; 30 felt comfortable and prepared in some situations and three participants felt uncomfortable and unprepared. Qualitative responses revealed: students considered sexuality was an important occupation; curriculum content meant they were most prepared to address sexuality with older people; personal values, gender, age, and culture factors influenced their preparedness; and comfort would increase with knowledge and experience. This paper demonstrates that both preparedness and comfort are required for occupational therapists to address sexuality effectively. The occupational therapy curriculum needs to focus on developing problem solving and practical skills using sexuality specific content, in particular how to initiate and respond when clients raise the topic. In conjunction with improvements to the curriculum, professional practice supervisors were identified as important educators as they can provide opportunities to address sexuality with clients and share their experiences while students are on placement

Sexuality and ageing : A mixed methods explorative study of older adult’s experiences, attitudes, and support needs

Introduction: Sexuality contributes to health and wellbeing, but it is often overlooked as an important occupation for older adults. Older adult studies focus on decreased participation and functioning in sexual acts. This study aimed to obtain perspectives and explore understandings and experiences of sexuality and of support needs, for typically ageing adults. Method: Seventy-five older adults aged 60 years and older participated in the online cross-sectional survey. Participants were primarily from Australia, the United States, and the United Kingdom. Closed questions were analyzed using descriptive and inferential statistics, and reflexive thematic analysis was used for open questions. Results: Throughout the ageing process, older adults continued to value their sexuality, expression, desire, and identity, though meanings and participation changed. Changes and challenges were overcome through openness, exploration, curiosity, valued relationships, and adaptations to ways of doing. Older adults identified being dissatisfied with current sexual health supports, resources, and services. Conclusion: Healthcare professionals need to develop intervention knowledge to address diverse needs, and better support older adults in sexuality through open discussion, addressing psychological, social, and health concerns as part of everyday practice. The development of standardized assessments and resources with consumer collaboration will ensure resources address multifaceted components of sexuality, and older adults’ needs

Object Relations in the Museum: A Psychosocial Perspective

This article theorises museum engagement from a psychosocial perspective. With the aid of selected concepts from object relations theory, it explains how the museum visitor can establish a personal relation to museum objects, making use of them as an ‘aesthetic third’ to symbolise experience. Since such objects are at the same time cultural resources, interacting with them helps the individual to feel part of a shared culture. The article elaborates an example drawn from a research project that aimed to make museum collections available to people with physical and mental health problems. It draws on the work of the British psychoanalysts Donald Winnicott and Wilfred Bion to explain the salience of the concepts of object use, potential space, containment and reverie within a museum context. It also refers to the work of the contemporary psychoanalyst Christopher Bollas on how objects can become evocative for individuals both by virtue of their intrinsic qualities and by the way they are used to express personal idiom

Experience of recently graduated occupational therapists in addressing sexuality with their clients

Health care consumers have emphasised the importance of being able to express themselves in a sexual nature, regardless of their health conditions. Unfortunately, literature based on experienced occupational therapists and students, indicates sexuality is poorly addressed, despite being a meaningful occupation. There is limited literature based on Australian experiences or the experiences of recent graduates, therefore this study aimed to explore how comfortable and prepared 11 recent graduates who studied in Australia, were in addressing sexuality, as well as the enablers and challenges experienced. A qualitative research design was utilized, with results demonstrating that undergraduate curricula are not adequately preparing new graduates to feel equipped with the knowledge, skills, comfort and preparedness to address sexuality. Enablers such as education, professional development and supportive workplaces, can aid to facilitate positive change in this area of practice, which may improve client outcomes

Effect of natalizumab on disease progression in secondary progressive multiple sclerosis (ASCEND). a phase 3, randomised, double-blind, placebo-controlled trial with an open-label extension

Background: Although several disease-modifying treatments are available for relapsing multiple sclerosis, treatment effects have been more modest in progressive multiple sclerosis and have been observed particularly in actively relapsing subgroups or those with lesion activity on imaging. We sought to assess whether natalizumab slows disease progression in secondary progressive multiple sclerosis, independent of relapses. Methods: ASCEND was a phase 3, randomised, double-blind, placebo-controlled trial (part 1) with an optional 2 year open-label extension (part 2). Enrolled patients aged 18–58 years were natalizumab-naive and had secondary progressive multiple sclerosis for 2 years or more, disability progression unrelated to relapses in the previous year, and Expanded Disability Status Scale (EDSS) scores of 3·0–6·5. In part 1, patients from 163 sites in 17 countries were randomly assigned (1:1) to receive 300 mg intravenous natalizumab or placebo every 4 weeks for 2 years. Patients were stratified by site and by EDSS score (3·0–5·5 vs 6·0–6·5). Patients completing part 1 could enrol in part 2, in which all patients received natalizumab every 4 weeks until the end of the study. Throughout both parts, patients and staff were masked to the treatment received in part 1. The primary outcome in part 1 was the proportion of patients with sustained disability progression, assessed by one or more of three measures: the EDSS, Timed 25-Foot Walk (T25FW), and 9-Hole Peg Test (9HPT). The primary outcome in part 2 was the incidence of adverse events and serious adverse events. Efficacy and safety analyses were done in the intention-to-treat population. This trial is registered with ClinicalTrials.gov, number NCT01416181. Findings: Between Sept 13, 2011, and July 16, 2015, 889 patients were randomly assigned (n=440 to the natalizumab group, n=449 to the placebo group). In part 1, 195 (44%) of 439 natalizumab-treated patients and 214 (48%) of 448 placebo-treated patients had confirmed disability progression (odds ratio [OR] 0·86; 95% CI 0·66–1·13; p=0·287). No treatment effect was observed on the EDSS (OR 1·06, 95% CI 0·74–1·53; nominal p=0·753) or the T25FW (0·98, 0·74–1·30; nominal p=0·914) components of the primary outcome. However, natalizumab treatment reduced 9HPT progression (OR 0·56, 95% CI 0·40–0·80; nominal p=0·001). In part 1, 100 (22%) placebo-treated and 90 (20%) natalizumab-treated patients had serious adverse events. In part 2, 291 natalizumab-continuing patients and 274 natalizumab-naive patients received natalizumab (median follow-up 160 weeks [range 108–221]). Serious adverse events occurred in 39 (13%) patients continuing natalizumab and in 24 (9%) patients initiating natalizumab. Two deaths occurred in part 1, neither of which was considered related to study treatment. No progressive multifocal leukoencephalopathy occurred. Interpretation: Natalizumab treatment for secondary progressive multiple sclerosis did not reduce progression on the primary multicomponent disability endpoint in part 1, but it did reduce progression on its upper-limb component. Longer-term trials are needed to assess whether treatment of secondary progressive multiple sclerosis might produce benefits on additional disability components. Funding: Biogen

National and Regional Dress

The purpose of this chapter is to place the rise and use of national and ethnic dress into a historical context. Using an extensive review of journal articles and book chapters focused on national and ethnic dress, historical nationalistic and colonizing trends were examined in the use of clothing and dress. National dress was introduced through the continued rise of nationalism and colonialism in European and Western countries. Western imperialism at first erased identities of indigenous groups, but later had the unintended consequence of creating an appetite for subjugated people to establish a new national identity to reassert their sovereignty, using dress as a visual representation of empowerment and the ability to self-govern. Under global migration, which has increased due to technological advances in the nineteenth and twentieth century, ethnic dress adopts new meaning to align immigrants with their national origins. Authoritarian regimes also used national dress to create cohesion in the nation-state population. Though visual national classification using dress was first used in European cultures and contexts, the dress practice has spread internationally empowering visual self-definition and agency in a world of shifting political and cultural identities

The Diagnostic Potential of Fe Lines Applied to Protostellar Jets

We investigate the diagnostic capabilities of iron lines for tracing the physical conditions of shock-excited gas in jets driven by pre-main sequence stars. We have analyzed the 3000-25000 \uc5, X-shooter spectra of two jets driven by the pre-main sequence stars ESO-H\u3b1 574 and Par-Lup 3-4. Both spectra are very rich in [Fe II] lines over the whole spectral range; in addition, lines from [Fe III] are detected in the ESO-H\u3b1 574 spectrum. Non-local thermal equilibrium codes solving the equations of the statistical equilibrium along with codes for the ionization equilibrium are used to derive the gas excitation conditions of electron temperature and density and fractional ionization. An estimate of the iron gas-phase abundance is provided by comparing the iron lines emissivity with that of neutral oxygen at 6300 \uc5. The [Fe II] line analysis indicates that the jet driven by ESO-H\u3b1 574 is, on average, colder (T e 3c 9000 K), less dense (n e 3c 2 7 104 cm-3), and more ionized (x e 3c 0.7) than the Par-Lup 3-4 jet (T e 3c 13,000 K, n e 3c 6 7 104 cm-3, x e < 0.4), even if the existence of a higher density component (n e 3c 2 7 105 cm-3) is probed by the [Fe III] and [Fe II] ultra-violet lines. The physical conditions derived from the iron lines are compared with shock models suggesting that the shock at work in ESO-H\u3b1 574 is faster and likely more energetic than the Par-Lup 3-4 shock. This latter feature is confirmed by the high percentage of gas-phase iron measured in ESO-H\u3b1 574 (50%-60% of its solar abundance in comparison with less than 30% in Par-Lup 3-4), which testifies that the ESO-H\u3b1 574 shock is powerful enough to partially destroy the dust present inside the jet. This work demonstrates that a multiline Fe analysis can be effectively used to probe the excitation and ionization conditions of the gas in a jet without any assumption on ionic abundances. The main limitation on the diagnostics resides in the large uncertainties of the atomic data, which, however, can be overcome through a statistical approach involving many line

In Search of the High Road: Meaning and Evidence

This article is the first in a series to celebrate the 70th anniversary of the ILR Review. We will be highlighting important research themes that have been featured in the journal over its many years of publication. In this article, Paul Osterman reviews research on the quality of jobs and recent debates over “High Road” and “Low Road” approaches to employment practices. Scholars and policy advocates frequently utilize the distinction between High Road and Low Road firms as a framework for efforts to improve the quality of work in low-wage employers. This article assesses the logic and evidence that underlies this construct. The author provides a definition of the concept and examines the evidence behind the assumption that firms have a choice in how they design their employment policies. He then takes up the assertion that firms that adopt a High Road model can “do well by doing good” and adds precision to this claim by reviewing the evidence that a profit-maximizing firm would benefit from following the High Road path. The article concludes by suggesting a research agenda and providing a framework for policy that flows from the conclusions drawn from the existing research base