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Hematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-related complications that affect their quality of life and daily activities. This study, a narrative review, aims to report the impact of HCT complications, the benefits of rehabilitation intervention, the need for long-term care and highlights the research gap in clinical trials involving rehabilitation.

A comprehensive search strategy was performed on several databases to look for relevant articles published from 1998 to 2018. Articles published in English with the following terms were used: hematopoietic stem cell transplant, chronic graft-versus-host disease, rehabilitation, exercise, physical therapy, occupational therapy. A patient/population, intervention, comparison, and outcomes (PICO) framework was employed to ensure that the search strategies were structured and precise. Study year, design, outcome, intervention, sample demographics, setting and study results were extracted.

Of the 1,411 records identified, 51 studies underwent title/abstract screening for appropriateness, 30 were reviewed in full, and 19 studies were included in the review. The review found that, for the majority of patients who underwent HSCT and developed treatment-related complications, rehabilitation exercises had a positive impact on their overall quality of life. However, exercise prescription in this patient group has not always reflected the scientific approach; there is a lack of high-quality clinical trials in general. The review also highlights the need to educate healthcare policymakers and insurance companies responsible for rationing services to recognise the importance of offering long-term follow-up care for this patient group, including rehabilitation services.

A large number of HSCT patients require long-term follow-up from a multidisciplinary team, including rehabilitation specialists. It is important for healthcare policymakers and insurance companies to recognise this need and take the necessary steps to ensure that HSCT patients receive adequate long-term care. This paper also highlights the urgent need for high-quality rehabilitation trials to demonstrate the feasibility and importance of rehabilitation teams.

Healthcare policymakers and insurance companies need to recognise that transplant patients need ongoing physiotherapy for early identification of any functional impairments and appropriate timely intervention.

In this chapter, we explore how our backgrounds as mixed-heritage Latinas influence our work as junior faculty members at a four-year public Hispanic-serving institution (HSI). Drawing on the conceptual lens of intersectionality, we address the question: how do our multiple social identities affect our identity development and socialization as faculty members?

As part of a critical mass of junior Latina scholars studying educational issues pertinent to the Latina community, we build a sense of community in what can be an isolated environment for women faculty of color. Using our own examples, we examine how two faculty members who might be considered “outsiders within” the Latina/o community draw on their Latinidad as a source of strength to employ their academic work in advancing social justice for Latina/os. Our identities have influenced us to take into account multiple social categories and social contexts in the study of educational phenomena. Serving as faculty within the institutional context of an HSI has distinctively influenced our socialization as new faculty.

We believe that this examination has implications for understanding how people can build cross-cultural collaborations and identify productively with communities that may not necessarily recognize them as “authentic.” Our exploration also offers insights for building a more inclusive academy, particularly for junior scholars from historically underrepresented backgrounds. Based on the themes identified in this research, we draw recommendations for university personnel interested in the recruitment and retention of Latina junior faculty. More broadly, this research has implications for developing support systems for faculty members who have been historically underrepresented in their fields and those who study marginalized populations.

Libraries throughout the world use OCLC’s EZproxy software to manage access to e-resources. When cleaned, processed, visualized and enhanced, these logs paint a valuable picture of a library’s impact on researcher’s lives. The purpose of this paper is to share techniques and procedures for enhancing and de-identifying EZproxy logs using Tableau, a data analytics and visualization software, and Tableau Prep, a tool used for cleaning, combining and shaping data for analysis.

In February 2018, The Ohio State University Libraries established an automated daily process to extract and clean EZproxy log files. The assessment librarian created a series of procedures in Tableau and Tableau Prep to union, parse and enhance these files by adding information such as user major, user status (faculty, graduate or undergraduate) and the title of the requested resource. She last stripped the data set of identifiers and applied best practices for maintaining confidentiality to visualize the data.

The data set is currently 1.5m rows and growing. The visualizations may be filtered by date, user status and user department/major where applicable. Safeguards are in place to limit data presentation when filters might reveal a user’s identity.

Tableau used in concert with Tableau Prep allows an assessment librarian to clean and combine data from various sources. Once procedures for cleaning and combining data sources are established, the data driving visualizations can be set to refresh on a set schedule. This expedites the ability of librarians to derive actionable insights from EZproxy data and to share the library’s positive impact on researcher’s lives.

The long-term financial stability of hospital systems represents a “grand challenge” in health care. New ownership forms, such as private equity (PE), promise to achieve better financial performance than nonprofit or for-profit systems. In this study, we compare two systems with many similarities, but radically different ownership structures, missions, governance, and merger and acquisition (M&A) strategies. Both were nonprofit, religious systems serving low-income communities – Montefiore Health System and Caritas Christi Health Care.

Montefiore's M&A strategy was to invest in local hospitals and create an integrated regional system, increasing revenues by adding primary doctors and community hospitals as feeders into the system and achieving efficiencies through effective resource allocation across specialized units. Slow and steady timing of acquisitions allowed for organizational learning and balancing of debt and equity. By 2019, it owned 11 hospitals with 40,000 employees and had strong positive financials and low reliance on debt.

By contrast, in 2010, PE firm Cerberus Capital bought out Caritas (renamed Steward Health Care System) and took control of the Board of Directors, who set the system's strategic direction. Cerberus used Steward as a platform for a massive debt-driven acquisition strategy. In 2016, it sold off most of its hospitals’ property for $1.25 billion, leaving hospitals saddled with long-term inflated leases; paid itself almost $500 million in dividends; and used the rest for leveraged buyouts of 27 hospitals in 9 states in 3 years. The rapid, scattershot M&A strategy was designed to create a large corporation that could be sold off in five years for financial gain – not for health care integration. Its debt load exploded, and by 2019, its financials were deeply in the red. Its Massachusetts hospitals were the worst financial performers of any system in the state. Cerberus exited Steward in 2020 in a deal that left its physicians, the new owners, holding the debt.

This paper aims to develop a richer, more complete understanding of how firms define and consider customer engagement on social networks. The research builds from the theoretical backdrop of customer engagement. The research then uses a qualitative interview approach to understand the firm perspective.

Qualitative data were collected using in-depth interviews with employees at a variety of companies including Facebook, Google, another leading social networking site, a higher education institution and a start-up company.

Companies view engagement with social media as measureable metrics of consumer interactions with the platform. These metrics could include growth and interaction on the platform, number of users, subscribers to the site or page views. Propositions are developed around how customer engagement is defined, the breadth and depth of social media and when social media is used as a push or a pull strategy.

Findings from this research are limited by the sample size and convenience of sampling. However, results from this grounded theory approach enabled propositions that can focus on larger datasets and testing.

Engagement indicates meaningful information that can propel a company’s position forward. To companies, this meaningful information is in terms of metrics that can be used as information and evidence for future decision-making.

This research suggests that firms need to better define what engagement means and to assess the best platforms for creating an ecosystem of engagement with customers.

Many researchers are exploring engagement within the context of social media networks. This research, however, is one of the first to explore this from a firm level perspective.

Purpose – Using a framework of intersectionality, this chapter makes visible the realities of women of color who try to form relationships through the use of personal advertising.Methodological/approach – A discursive analysis of race and social class in personal ads using Phrase Tokens, and in-depth interviews with 14 women of color who participated in various forms of personal advertising, present the synergism of race and racism, sex and sexism, and sexuality and heteronormativity, and how these systems continue to pervade interpersonal relations.Finding – Patterns found in both texts and narratives illustrate how establishing relationships among women who are members of heterogeneous collectivities continues to be located in systems of inequality. These data also illustrate how ad placers are unique individuals whose markers of race, class, gender, and sex identity, produce commonalities, yet how their narratives reflect diverse goals, experiences, and responses to those experiences. Women of color convey how personal advertising remains rooted in modern society where people choose their individual affiliations and continue to be defined by their group affiliations.Originality/value of chapter – Though the structural factors and social processes involved in personal advertising are relevant to the formation of interpersonal and social relationships, the phenomenon of personal advertising as a form of courtship has received relatively little attention by sociologists. In rethinking the intersections of race, gender, and social class in personal advertising this chapter includes participants’ voices to more fully understand the motivations for personal advertising, how women ‘do’ identity, and how they experience personal advertising.

The purpose of this paper is to examine the racial and ethnic aspects of the doctoral socialization to provide a meaningful insight into the belief systems and decision-making processes related to academic success and degree completion. This paper addresses a gap in literature focusing on the racial and ethnic aspects of the doctoral student experience as they relate to student agency.

This narrative research of four doctoral students uses a postmodern active interview method to foreground the role of a doctoral agency as manifested in the ways students make meaning of their experiences as members of the science, technology, engineering, agriculture and math academic community. A dialectical approach to the traditional socialization models provides the framework for understanding the meaning-making processes within a critical context of academia.

Findings present the intrinsic foundations for a doctoral agency and forces that shape key decision-making processes for doctoral students.

Implications for research and practice provide guidance for faculty, graduate school administrators and organizations interested in supporting degree completion for historically marginalized doctoral students.

This study examines doctoral socialization as a meaning-making process of racial/ethnic students in engineering and agricultural programs. Narrative research design provides depth into the individual experiences and the role of racial/ethnic histories in students’ socialization (meaning-making) processes in a predominantly White academic environment.

The purpose of this paper is to provide an emic view of how one researcher negotiated complex relationships in teacher education research and learned to employ the principles of the relational cultural theory (RCT) to create a research design aimed at building and sustaining relationships with participants.

The authors offer illustrative qualitative data examples from teacher education research to highlight complexities in research relationships, essential elements of the RCT, and the affordances RCT can offer qualitative researchers invested in similar work.

By engaging pre-service teachers and ourselves as mutually engaged in this process, the authors put into practice a sense of community and relationship building the authors hope pre-service teachers will practice with their future students.

This paper provides a qualitative research design employing tenets of the RCT which centers relationships as critical to the research process. The authors offer affordances and limitations to using the RCT in research.

Several affordances are offered to researchers interested in engaging in similar work.

This paper offers an original perspective of how one researcher in teacher education negotiated complex relationships and learned to employ the principles of the RCT within these to build a research design aimed at widening research and practice in teacher education through productive and lasting relationships.

Rankings have become a popular topic in the social sciences over the past two decades. Adding to these debates, the present volume assembles studies that explore a variety of empirical settings, emphasizing the importance of acknowledging that there are multiple “Worlds of Rankings.” To this end, the first part of the chapter addresses the implications of two modes of criticism that characterize much of the scholarly work on rankings and summarizes extant conceptual debates. Taking stock of what we know, the second part distinguishes three areas of empirical research. The first area concerns the activities of those who produce rankings, such as the collection of data or different business strategies. Studies in the second area focus on inter-organizational, field-level, or discursive phenomena, particularly how rankings are received, interpreted, and institutionalized. The third area covers the manifold effects that research has unveiled, ranging from the diffusion of practices and changes in organizational identities to emotional distress. Taken together, the contributions to this volume expand our knowledge in all three areas, inviting new debates and suggesting pathways forward.