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Coda: On My Six Experiments in Conjoining (and Contrasting) Two Composers
Full text linkThe author has previously published six essays, each based on a novel technique: pairing one piece each from two different composers, in an attempt at teasing out important implications of these (mostly little-known) works. These implications would have been harder to glean if one focused instead, as is normally done, on a small number of oft-performed canonical works by a few great masters.
The present “Coda” offers reflections on the implications of those six essays for a continuing exploration of important themes in the history of Western art music, including romanticism, modernism, “progress,” tonality, text-music relations, and nationalism (including the relationship of a composer to his or her land of origin)
China’s Investment in LAC Critical Minerals Helps Its Military Modernization
No full textStrategic competition between the U.S. and the People’s Republic of China (PRC) continues to attract the international community’s attention. The PRC seeks to expand its influence in the Global South, especially in South America, by increasing its critical mineral mining industry in the region. Throughout this report, we analyze data on state-owned enterprises (SOEs) and private Chinese mineral companies’ investments in Latin America and the Caribbean (LAC) through a World Systems Theory (WST) and state-corporate criminological lens while utilizing Geospatial Information Systems (i.e., ArcGIS software) to geo-locate mining investment hotspots. In addition, this report analyzes how these minerals modernize the People’s Liberation Army’s (PLA) military weaponry and vehicles
Systematic Review of the Correlation Between Red Meat Consumption and Endometriosis
No full textEndometriosis, a chronic estrogen-dependent disorder affecting approximately 10% of women of reproductive age, is associated with symptoms such as chronic pelvic pain and infertility (Yamamoto, 2018, p. 2). Although the pathophysiology of endometriosis remains unclear, emerging evidence suggests that dietary factors, particularly red meat consumption, may influence its development. This systematic review aims to evaluate the existing literature on the correlation between red meat consumption and the risk of developing endometriosis. We conducted a comprehensive systematic review of studies published between 2000 and 2024, sourced from PubMed, Science Direct, Scopus, Google Scholar, and Web of Science. We included observational studies that assessed the relationship between red meat consumption and laparoscopically confirmed endometriosis in premenopausal women. Study quality was evaluated using the Newcastle-Ottawa scale, which appraises the selection process, comparability, and outcome measurement. A total of five studies with 165,490 participants were included. Two studies (Helier et al., 2007; Trabert et al., 2011) found no statistically significant correlation between red meat consumption and endometriosis. Conversely, three studies (Yamamoto et al., 2018; Parazzini et al., 2004; Dougan et al., 2024) identified a positive association, with increased red meat consumption correlating with an elevated risk of endometriosis, especially processed meats. The studies that reported positive correlations noted that the association was particularly strong among women with infertility. Study quality was generally strong, highlighting the reliability of the findings despite some inconsistencies across studies. Our findings suggest a potential link between red meat consumption and endometriosis, though the relationship is not uniform across all studies. While further research is necessary to elucidate the underlying mechanisms, dietary modifications, particularly reducing red meat intake, may help mitigate endometriosis risk and alleviate symptoms in susceptible populations
Creating Clinical Preservice Preparation Programs That Promote Self-Efficacy to Teach the Science of Reading
No full textEvidence-based research and state initiatives have focused on instructional methods emphasizing the science of reading and a structured literacy approach using five effective reading components: phonemic awareness, phonics, fluency, vocabulary, and comprehension. However, these efforts have not fully addressed why educators struggle to translate the science of reading and structured literacy pedagogical practices into classroom instruction that improves reading outcomes. This study underscores the vital role of teacher preparation programs that provide clinical structured literacy training through school partnerships. The data provided demonstrates the effectiveness of coaching, reflection, and continuous refinement to promote teacher candidates’ self-efficacy to deliver evidence-based literacy instruction
Making the Managerial Elite: Conservative class politics after James Burnham
Full text linkThis paper examines the evolution of James Burnham’s theory of the managerial elite within American conservative thought from the mid-twentieth century to the present. Drawing on a conceptual history approach, it traces how Burnham’s framework was reinterpreted across three pivotal political eras: the New Deal, the Cold War, and the neoliberal order. Conservative factions appropriated or contested managerialism in divergent ways: neoconservatives framed it as a rationale for executive technocracy; paleoconservatives saw it as a betrayal of constitutional limits; and contemporary populists repurposed it into an anti-globalist critique. Rather than treating managerialism as a static theory, the paper interprets it as a volatile political concept, one that registers deeper tensions in conservative visions of legitimacy, sovereignty, and capitalist transformation. In doing so, it contributes to a broader understanding of how concepts of class and authority are rearticulated across shifting regimes of power
Enhancing Advanced Practice Providers’ Knowledge of Wound Care Protocol Through a Computer-Based Educational Intervention: A Quality Improvement Initiative Using Kotter’s Change Model
Full text linkWound management is increasingly becoming complex due to rising incidences of chronic non-healing wounds. Notably, the challenge has been exacerbated by inconsistent adherence to the protocol adopted by advanced practice providers (APPs) at the Woundtech facility, leading to disparities in patient outcomes. The computer-based educational intervention model provided a scalable and standardized solution to enhance protocol awareness. Therefore, this quality improvement initiative aimed to develop and assess a computer-based educational module to increase the knowledge of APPs in wound care at Woundtech by 25% within 6 months, ultimately addressing inconsistent care outcomes. The project employed a quasi-experimental study, including pre- and posttest design, conducted at Woundtech, a wound care organization with a robust healthcare workforce and telehealth capabilities. Participants included 11 APPs with at least 6 months of experience, regular computer users, and current patients in need of wound care. Kotter\u27s 8-step change model guided the methodology and data collection, featuring pre- and post-intervention assessments. A paired t-test analysis of knowledge score changes and descriptive statistics analyses were conducted to explore the trends. Findings show a 69.7% increase in APPs\u27 knowledge on wound care management and treatment protocol, surpassing the targeted 25% increase in mean knowledge scores. Participants were assessed using an 11-item survey. Scores rose from a pretest average of 6.27 to a posttest score of 10.64 during the 6 months of the intervention, achieving statistical significance at p \u3c 0.001, where the p-value at t = 10.63. Some of the study\u27s implications include reducing practice variability, improving wound care outcomes, and encouraging other healthcare organizations to adopt digital learning platforms to enhance wound care knowledge. Notable project conclusions were that the intervention is an opportunity to bridge the knowledge gaps in wound care management and treatment among healthcare providers, such as APPs. Sustaining change requires integrating it into practice, securing fiscal support, and aligning policy. Finally, the practice change highlights the role of technology in practice, organizational improvement, and education, providing standardized wound care training
Evaluating the Impact of Targeted Education and Counseling on HPV and HPV Vaccine Among Women Aged 27–45
Full text linkThe Human Papillomavirus (HPV) vaccine is crucial in preventing cervical and other HPV-related cancers. Despite this, vaccination rates among women aged 27 to 45 remain low due to limited clinician-led counseling, knowledge gaps, and misconceptions. This quality improvement project assessed the effectiveness of targeted, clinician-led counseling in enhancing HPV-related knowledge, vaccine awareness, and behavioral intentions among this underserved demographic. A pre- and post-intervention design was implemented at a community-based women\u27s health clinic in Miami, Florida. Twentyfive unvaccinated, English or Spanish-speaking women aged 27 to 45 were recruited during routine well-woman and gynecologic visits. Following informed consent, participants completed a pre-survey, received a brief, structured counseling session guided by an evidence-based script, and completed a post-survey during the same visit. Counseling content addressed HPV transmission, cancer risks, vaccine benefits, and common myths using a shared decision-making framework. Statistically significant improvements were observed across domains of HPV knowledge, vaccine awareness, and attitudes (p \u3c .001). Although behavioral intentions to pursue vaccination increased, the change did not reach statistical significance (Z = –1.72, p = .086). These findings support the integration of brief, patient-centered counseling into routine preventive care as an effective strategy to enhance knowledge and support informed decision-making. The results underscore the critical role of advanced practice nurses in delivering culturally responsive, evidence-based education in addressing public health gaps through evidencebased education and personalized preventive care