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AbstractThis article investigates a range of case studies focusing on the display of Pre‐Columbian artifacts in Texas and Mexico City by visiting six museums housing permanent Pre‐Columbian collections. For each institution, I focused on two modes of communication. The first was the amount of information the museum provided to the public through the set‐up and organization of the galleries. This included the size of the exhibit, the number of cultures portrayed, and the types of visual tools utilized (videos, computers, dioramas, reconstructed buildings, etc). For the second part, I documented the textual information about the collections and the represented cultures. I conducted a content analysis on this text, looking in particular at the vocabulary used to describe each culture. I wanted to know how these institutions dealt with the flow of information between museum and visitor and how they functioned in representing the diversity of Pre‐Columbian groups and their cultural traditions. Here, in the interest of space, I focus on one institution, the San Antonio Museum of Art. Ultimately, I determined that the San Antonio Museum of Art, and museums in general, should incorporate anthropological outlooks in their portrayals of other cultures. They have a responsibility to communicate information that reflects a multiplicity of viewpoints because of their roles as sites of identity construction.

Abstract
In 2011, cultural critic Nelson George asserted, "Pariah is important, not simply as a promising directorial debut, but also as the most visible example of the mini-movement of young black filmmakers telling stories that complicate assumptions about what 'black film' can be by embracing thorny issues of identity, alienation and sexuality." However, filmgoers, myself included, were offended at the New York Times comparison of Pariah to Lee Daniel's Precious (2008), another "Black" movie, but with such radically different content that one wonders if the reviewers actually watched Dee Rees's Black lesbian coming-out story. Much like Cheryl Dunye's The Watermelon Woman, another film written, directed, and produced by a Black lesbian, Pariah was marketed as a "Black" film, effectively ignoring its queerness. And while both movies received favorable reviews, neither film did very well at the box office, suggesting that Black moviegoers had little interest in Black lesbian film.
Hence, this essay will address the ways in which two Black lesbian filmmakers, Cheryl Dunye and Dee Rees, wrote, produced, and directed films that sought to counter common stereotypes regarding queer Black subjectivities, specifically those of Black lesbians, and how their struggles to produce, market, and distribute these films are indicative of the challenges that Black lesbians in the United States still face due to racism, sexism, and homophobia. To be sure, Black lesbian filmmakers are "contest[ing] the dominant gendered and sexual definitions of racial difference by working on black sexuality" (Hall 1993, 274), in this case, Black queer subjectivities in the form of Black lesbians. Stuart Hall also reminds us that the struggle over cultural hegemony "is never about pure victory or pure domination . . . it is always about shifting the balance of power in the relations of culture, it is always about changing the dispositions and the configurations of cultural power, not getting out of it" (107). Thus, late-twentieth- and early-twenty-first-century Black lesbian filmmakers were engaged in challenging contemporary discourses that ignore the particularities of race and gender when it comes to representing LGBT experiences in film, thus hoping to exert agency over their representations in popular culture.
I assert that both Pariah and The Watermelon Woman work to expand the archive of Black lesbian filmic representations by focusing on the ways in which Black lesbian identities are validated, embraced, and complicated by Black women in the United States. At the same time, these films reveal the unique challenges that Black lesbian filmmakers face from the film industry, as well as from their own communities.

Adolescent and young adults (AYAs) with chronic illnesses cope with complex issues that require unique psychological support and healthcare services to reduce psychosocial difficulties, improve disease management, and facilitate positive transitions to adult care. Engaging patients and caregivers can help providers understand the specific needs of this population and identify the perceived areas of support. The purpose of this quality improvement initiative is to assess the needs of AYAs with chronic medical conditions at a large government research hospital. Eighty-nine AYA patients (age = 23.5 years; range 13–34) with neurofibromatosis type 1, cancer, primary immunodeficiencies, or sickle cell disease, and a sample of caregivers (n = 37, age = 52 years; range: 41–65), completed an anonymized survey that assessed their preferences for a wide range of informational and service-related needs. The results indicate an overwhelming desire for information about general health and wellbeing and disease-specific medical knowledge. The most endorsed item was the need for more information about an individual's medical condition (72%), which was a primary concern across disease, racial, and gender groups. Demographic and disease-specific needs were also identified. Thus, providing information to AYA patients and caregivers is a critical and largely unmet component of care, which requires the development and implementation of targeted educational and psychosocial interventions.

AbstractAs the environment within which organizations act continues to change and becomes increasingly competitive, maintaining an organizational climate that supports change and encourages creativity is a key objective for organizational leaders. This article examines the relationship between leadership style (transformational, transactional, laissez‐faire) and members' perceptions of the psychological climate for organizational change readiness and psychological climate for organizational creativity. Results indicate that transformational leaders have a direct positive relationship with psychological climate for organizational change readiness and organizational creativity, while laissez‐faire leaders have a negative relationship.

Introduction
In October 2020, a national rapid prenatal exome sequencing (pES) service was rolled out across the English National Health Service (NHS). This service is delivered by multiple clinical and two laboratory teams. Whilst there was high level national guidance to support implementation, it was unclear how the service has been delivered in practice. This study evaluated pES service implementation across England, using the Major System Change Framework to explore links between implementation approaches and outcomes.

Methods
We conducted a national mixed-methods multi-site study of 17 clinical genomics services, their linked fetal medicine services and two laboratories delivering the pES service. The Major System Change Framework informed the study. Key documents, semi-structured interviews (eight national service developers, 55 staff), and surveys (n=159 staff) were analysed using inductive and deductive thematic analysis and descriptive statistics. Findings were integrated.

Results
Implementation was influenced by a range of factors including evidence of benefit, laboratory service reconfiguration and stakeholder support. Local implementation approaches varied; seven models of service delivery were identified. Key differences between models included leadership, staffing and multidisciplinary team (MDT) approaches. Local staff factors (e.g. time, capacity, attitudes), pES service factors (e.g. communication/collaboration, logistics) and organisational factors (e.g. infrastructure and previous experience) influenced implementation.

Conclusion
We have identified multiple barriers and facilitators that are associated with implementing a major change to genomic services in a complex national healthcare system. This study highlights which models of pES may work in practice and why. Findings will inform future development of the pES service.