Kathleen Deska Pagana, PhD, RN, Professor Emeritus, Department of Nursing, Lycoming College; President, Pagana Keynotes and Presentations, Williamsport, PA, Timothy J. Pagana, MD, FACS, Medical Director, The Kathryn Candor Lundy Breast Health Center and The SurgiCenter, Susquehanna Health System, Williamsport, PA and Sandra A. Pike-MacDonald, RN, BN, MN, PhD, Professor, Memorial University of Newfoundland, School of Nursing