Medicine and the muse: Opportunities for connection through education, research and shared experience

Introduction: The Stanford Medicine and the Muse: Medical Humanities and the Arts Program is based at a research intensive medical school, which trains physician-scientists and lauds bench and translational scientific endeavours. However, traits which lead to scientific excellence, such as curiosity and interest in interdisciplinary work, are also traits necessary for innovation in health humanities. The Program began over 15 years ago as a bud of a research grant program for Stanford medical students. Initial emphasis on arts and humanities scholarly work as a track in medical education led to a multi-pronged Program with education, research, community-building and outreach missions. Methodology: Three of the multiple components of the Program will be examined. 1. The Biomedical Ethics and Medical Humanities Scholarly Concentration which has supported over 120 medical student projects. A qualitative study of alumni of the Scholarly Concentration is currently being analysed 2. Cross-disciplinary elective courses such as The Art of Observation, held in the University‘s art museums with peer-peer interactions between medical and art history graduate students. 3. Community-building through creative writing and literature discussion groups for medical students, health professionals, and the support of Pegasus Physician Writers. Discussion: By initiating the Stanford Medicine and the Muse Program as part of the research mission at the medical school, the Program gained traction in the local culture. Networking across the University and beyond enables meaningful exchange and new opportunities. Program expansion, including writing and literature groups, respond to needs for community building and wellness experiences

Civil Society Legitimacy and Accountability: Issues and Challenges

University education rarely focuses its attention and imagination on teaching students how to turn a vision into reality; how to design, develop, and lead social change organizations. The author co-created the Social Entrepreneurship Collaboratory (SE Lab) at Stanford University and then Harvard University as a model educational program designed to achieve this goal. The SE Lab is a Silicon Valley influenced incubator where student teams create and develop innovative pilot projects for US and international social sector initiatives. The lab combines academic theory, frameworks, and traditional research with intensive field work, action research, peer support and learning, and participation of domain experts and social entrepreneurship practitioners. It also provides students an opportunity to collaborate on teams to develop business plans for their initiatives and to compete for awards and recognition in the marketplace of ideas. Students in the SE Lab have created innovative organizations serving many different social causes, including fighting AIDS in Africa, promoting literacy in Mexico, combating the conditions for terrorism using micro-finance in the Palestinian territories, and confronting gender inequality using social venture capital to empower women in Afghanistan

Peer crowd-based targeting in E-cigarette advertisements: a qualitative study to inform counter-marketing.

BACKGROUND:Cigarette lifestyle marketing with psychographic targeting has been well documented, but few studies address non-cigarette tobacco products. This study examined how young adults respond to e-cigarette advertisements featuring diverse peer crowds - peer groups with shared identities and lifestyles - to inform tobacco counter-marketing design. METHODS:Fifty-nine young adult tobacco users in California participated in interviews and viewed four to five e-cigarette advertisements that featured characters from various peer crowd groups. For each participant, half of the advertisements they viewed showed characters from the same peer crowd as their own, and the other half of the advertisements featured characters from a different peer crowd. Advertisements were presented in random order. Questions probed what types of cues are noticed in the advertisements, and whether and how much participants liked or disliked the advertisements. RESULTS:Results suggest that participants liked and provided richer descriptions of characters and social situations in the advertisements featuring their own peer crowd more than the advertisements featuring a different peer crowd. Mismatching age or device type was also noted: participants reported advertisements showing older adults were not intended for them. Participants who used larger vaporizers tended to dislike cigalike advertisements even if they featured a matching peer crowd. CONCLUSION:Peer crowd and lifestyle cues, age and device type are all salient features of e-cigarette advertising for young adults. Similarly, educational campaigns about e-cigarettes should employ peer crowd-based targeting to engage young adults, though messages should be carefully tested to ensure authentic and realistic portrayals

Transdermal Delivery of Functional Collagen \u3cem\u3eVia\u3c/em\u3e Polyvinylpyrrolidone Microneedles

Collagen makes up a large proportion of the human body, particularly the skin. As the body ages, collagen content decreases, resulting in wrinkled skin and decreased wound healing capabilities. This paper presents a method of delivering type I collagen into porcine and human skin utilizing a polyvinylpyrrolidone microneedle delivery system. The microneedle patches were made with concentrations of 1, 2, 4, and 8% type I collagen (w/w). Microneedle structures and the distribution of collagen were characterized using scanning electron microscopy and confocal microscopy. Patches were then applied on the porcine and human skin, and their effectiveness was examined using fluorescence microscopy. The results illustrate that this microneedle delivery system is effective in delivering collagen I into the epidermis and dermis of porcine and human skin. Since the technique presented in this paper is quick, safe, effective and easy, it can be considered as a new collagen delivery method for cosmetic and therapeutic applications

Who escapes or remains a victim of bullying in primary school?

The stability of both direct and relational victimisation and factors that contribute to remaining, escaping or becoming a victim of bullying were investigated. 663 children at baseline aged 6-9 (years 2-4) were interviewed about their bullying experiences and parents completed a behaviour and health measure. Children’s perception of the degree of social hierarchical structuring and social prominence in their class was determined by peer nominations. 432 children participated in the follow-up either 2 or 4 years after baseline aged 10-11 (year 6) and completed a bullying questionnaire. Relational victims and children from classes with a high hierarchical structure were more likely to have dropped out of the study compared to neutral children, and children from classes with a low hierarchical structure. Relative risk analyses indicated a two-fold increased risk of remaining a direct victim at follow-up, compared to a child not involved at baseline becoming a victim over the follow-up period. In contrast, relational victimisation increased but was not found to be stable. Logistic regression analyses revealed that being a girl, and receiving few positive peer nominations predicted remaining a direct victim. Becoming a relational victim at follow-up was predicted by a strong class hierarchy. The implications for future study of early recognition of likely long term victims and early preventative bullying initiatives are discussed

2 P2P or Not 2 P2P?

In the hope of stimulating discussion, we present a heuristic decision tree that designers can use to judge the likely suitability of a P2P architecture for their applications. It is based on the characteristics of a wide range of P2P systems from the literature, both proposed and deployed.Comment: 6 pages, 1 figur

Pilot Evaluation of an Internet-based Natural Family Planning Education and Service Program

Objective: To evaluate the efficacy, knowledge of fertility, and acceptability of a web-based natural family planning (NFP) education and service program. Design: A 6-month repeated measure longitudinal evaluation pilot study. Setting: A university based online website. Participants: The website was piloted with 468 volunteer women seeking NFP services. Of these participants, 222 used the automatic online fertility charting system to avoid pregnancy. The 222 charting participants had a mean age of 29.9 years (SD=5.6), 2.2 children (SD=1.9), 37% were postpartum, and 47% had regular menstrual cycle lengths. Intervention: Nurse-managed web-based NFP education and service program. Outcomes: Pregnancies were confirmed by an online self-assessed pregnancy evaluation form. A 10-item fertility quiz and 10-item acceptability survey was administered online. Results: Among the 222 users avoiding pregnancy, at 6 months of use, there were two correct-use unintended pregnancies that provided a pregnancy rate of 2% and seven total unintended pregnancies providing a typical use pregnancy rate of 7%. Mean knowledge of fertility increased significantly from time of registration (8.96, SD=1.10) to 1 month of use (9.46, SD=.10), t=4.60, pSD=8.98) to 6 months of use (48.4; SD=8.77). Conclusion: The nurse-managed online NFP system seems to provide adequate knowledge of fertility and help participants meet pregnancy intentions. Acceptability of such a system of NFP is still in question

Conditional Spectrum-Based Ground Motion Selection. Part II: Intensity-Based Assessments and Evaluation of Alternative Target Spectra

In a companion paper, an overview and problem definition was presented for ground motion selection on the basis of the conditional spectrum (CS), to perform risk-based assessments (which estimate the annual rate of exceeding a specified structural response amplitude) for a 20-story reinforced concrete frame structure. Here, the methodology is repeated for intensity-based assessments (which estimate structural response for ground motions with a specified intensity level) to determine the effect of conditioning period. Additionally, intensity-based and risk-based assessments are evaluated for two other possible target spectra, specifically the uniform hazard spectrum (UHS) and the conditional mean spectrum (CMS, without variability).It is demonstrated for the structure considered that the choice of conditioning period in the CS can substantially impact structural response estimates in an intensity-based assessment. When used for intensity-based assessments, the UHS typically results in equal or higher median estimates of structural response than the CS; the CMS results in similar median estimates of structural response compared with the CS but exhibits lower dispersion because of the omission of variability. The choice of target spectrum is then evaluated for risk-based assessments, showing that the UHS results in overestimation of structural response hazard, whereas the CMS results in underestimation. Additional analyses are completed for other structures to confirm the generality of the conclusions here. These findings have potentially important implications both for the intensity-based seismic assessments using the CS in future building codes and the risk-based seismic assessments typically used in performance-based earthquake engineering applications

The University as Publisher: Summary of a Meeting Held at UC Berkeley on November 1, 2007

With the advent of electronic publishing, the scholarly communication landscape at universities has become increasingly diverse. Multiple stakeholders including university presses, libraries, and central IT departments are challenged by the increasing volume and the rapidity of production of these new forms of publication in an environment of economic uncertainties. As a response to these increasing pressures, as well as the recent publication of important reports and papers on the topic, the Center for Studies in Higher Education (CSHE) convened a meeting of experts titled, The University as Publisher. The event was sponsored as part of the A.W. Mellon Foundation-funded Future of Scholarly Communication project at CSHE.Our goal was to explore among stakeholders -- faculty, publishers, CIOs, librarians, and researchers -- the implications of the academic community, in some structure, taking over many, if not all, aspects of scholarly publishing. Two themes were the focus of the public panels: Institutional Roles in Evaluation, Quality Assessment, and Selection and Structuring and Budgeting Models for Publishing within the University Community. Our discussions included the importance of distinguishing between informal dissemination and formal publishing and the challenges that each presents to the university community. The harsh economic realities of high-quality formal scholarly publication, not least of which are managing peer review and editorial processes, were emphasized. Understanding disciplinary needs was cited as paramount throughout the discussions; the needs and traditions of scholars in the sciences and humanities, as well as among myriad disciplines, will likely demand different dissemination and publishing models and solutions. An additional theme that emerged was acknowledging the diverse forms electronic dissemination takes in the academy and the need to foster a spectrum of alternatives in publication forms, business models, and the peer review process. Budgetary and academic freedom concerns were explored as well. Regarding the expensive infrastructure required for electronic dissemination and publishing, it was agreed that there is enormous duplication among the university press, IT, and the library