The Central Asylum for the Instruction of the Deaf and Dumb, Canajoharie, New York, 1823-1835

The Central Asylum for the Instruction of the Deaf and Dumb, Canajoharie, NY, was a public school for the Deaf that existed from 1823 to 1835. Little has been written about it. This study draws upon as much information as appears to be available on the history of this school. The history of the Central Asylum adds to the understanding of the beginnings of public education for the Deaf in the United States.     

Female genital mutilation: the penultimate gender abuse.

OBJECTIVE: The five goals established for the development of this article were to: (1) provide an historical overview of the practice, (2) describe the procedure and its sequelae in realistic terms, (3) explore cultural justifications for the continuation of this action, (4) evaluate inherent moral/ethical/legal issues and, (5) focus worldwide professional attention on a gender-specific child atrocity. METHOD: A review of the past and current historical, popular and professional literature was undertaken to determine the precursors, magnitude, settings, rationale, and moral-ethical-legal-treatment issues associated with this mutilating procedure. RESULTS: Four forms of female genital mutilation were identified. These are: (1) sunna (removal of the prepuce of the clitoris); (2) clitoridectomy (removal of the prepuce and the clitoris); (3) excision (removal of the prepuce, clitoris, upper labia minora and perhaps the labia majora); and, (4) infibulation (removal of the prepuce, clitoris, labia minora, and labia majora). The "surgery" is performed most frequently by untrained midwives who use sharp rocks, razor blades, kitchen knives, broken glass, or even their teeth. As a rule, no anesthetics, antiseptics, analgesics or antibiotics are available to victims. Consequently, these females typically suffer from massive short-term and long-term physical, emotional, sexual and obstetrical sequelae. CONCLUSIONS: The justifications tendered by proponents do not withstand moral-legal-ethical scrutiny. Female genital mutilation is a violation of human rights and an atrocity perpetrated against helpless individuals who are unable to provide informed consent and who must therefore be protected through education and legislation.     

The effect of submaximal exercise on recovery hemodynamics and thermoregulation in men and women

Five women and 5 men were studied to examine the effects of submaximal exercise on thermoregulatory and hemodynamic variables during recovery in two environments: (a) control (C), 22 degrees C, 33% rh; and (b) hot humid (H), 32 degrees C. The participants exercised on a cycle ergometer at 60% of peak oxygen consumption for 35 min prior to 90 min of seated recovery. Sessions were identical, except for environment. Variables evaluated (p < .05) were: core temperature (TR), mean skin temperature (Ts), sweat rate (SR), heart rate (HR), stroke index (SI), cardiac index (CI), forearm blood flow (FBF), systolic blood pressure (SBP), and diastolic blood pressure (DBP). Men and women exhibited similar patterns of TR, Ts, and SR in both environments. Ts and SR (collapsed means for gender) were higher in the H than in the C. DBP was higher in men than in women throughout recovery in both environments. With combined means for gender, HR was higher in the H than in the C. CI, SI, FBF, and SBP were similar in both environments and returned to baseline within 15 min into recovery. These data suggest that heat dissipation during extended recovery was accomplished with similar contributions of cutaneous vasodilation and sweating in M and F. Furthermore, the moderate exercise level did not influence hemodynamics beyond 15 min of recovery in either environment.     

Submaximal exercise and maturation in 12-year-olds

The aim of this study was to examine the maturation responses of young people to submaximal treadmill exercise. Body mass was controlled using both the conventional ratio standard and allometric modelling. Ninety-seven boys and 97 girls with a mean age of 12.2 years completed a discontinuous, incremental exercise test to voluntary exhaustion. We measured peak oxygen uptake (VO2peak) and VO2 when running at 8, 9 and 10 km x h(-1). Sexual maturation was assessed visually using Tanner's indices of pubic hair. Peak VO2 was significantly higher in boys (P<0.001); this was still the case when the influence of body mass was covaried out. During submaximal exercise, no significant differences in absolute VO2 were observed between the sexes (P>0.05); however, values of VO2, expressed both in ratio with body mass and adjusted for body mass using allometry, were significantly greater in boys than in girls (P<0.001). For absolute VO2, significant main effects (P<0.05) were seen for maturity at each exercise stage. With the influence of body mass controlled using either the ratio standard or allometry, no significant main effects (P>0.05) for maturity were observed. Our results indicate that boys are less economical than girls while running at 8-10 km x h(-1) and that, independently of body mass, maturation does not influence the VO2 response to submaximal exercise.     

GaIN (Georgia Interactive Network for Medical Information) study on health professionals' search requests and continuing education needs

Health sciences librarians are being called upon to be more proactive in their institutions' continuing education efforts. In an effort to identify whether search requests indicated CE needs, a study was conducted by a group of members of GaIN (Georgia Interactive Network for Medical Information). MEDLINE requests from health care professionals for subject specific clinical topics were collected during a six-month period via a standard search request form created for the study. Copies of all completed requests were collected and broad ICD-9 codes assigned to the search topics. Institutional reports were generated for each participating library to share with hospital CE coordinators. They were also compiled for the group as a whole, and reflected the "hottest" topics requested during the study period for physicians and for non-physicians (nurses, allied health, administrators). A survey to hospital librarians and CE educators showed some value in the reports, but greater potential for further collaboration between librarians and CE coordinators.     

Psychiatric resources: a core list for the small psychiatric hospital library

There is a dearth of core lists for the mental health librarian and materials must be selected from several sources. This list is described as "basic," but it does provide a core collection of books, journals and Web sites which can be used by mental health librarians to build or evaluate collections. "Classics" not contained in this list should also be included in library collections as well as a comprehensive handbook, Tasman's Psychiatry, to which mental health practitioners can refer for a quick answer to a question. Most importantly, the library collection should reflect the purposes and philosophy of the medical staff and institution it supports.     

Ethical leadership and ethical decision making: A meta-analysis of research related to ethics education

Ethical leadership and ethical decision making in organizations have been the focus of many concerns related to ethics, especially in light of high-profile corporate scandals. The importance of educational preparation for ethical leadership has been highlighted in the general literature and the library and information science literature. This article is based on a meta-analysis of research related to ethics education in business. The meta-analysis considers issues of research design, methodologies used, populations studied and other data analyzed, the nature of the researchers, and the dissemination of the research in the journal literature. It is intended to inform the study of ethics and ethics education in general and in other professional disciplines, such as library and information science. The research results indicate the limited number of research methodologies that have been used in the study of ethics education. Past research has largely focused on undergraduates, particularly in relation to the impact of ethics curricula on their learning/cognitive development and on measures of perceptions and changes in perceptions of ethical issues.