The Last Word

A Bank Street School for Children student looking back on her years at the School.https://educate.bankstreet.edu/progressive/1010/thumbnail.jp

Blurring Boundaries: Transforming Place, Policies, and Partnerships for Postsecondary Education Attainment in Metropolitan Areas

By 2020, more than six out of 10 U.S. jobs will require postsecondary training. Despite a slight increase in college attainment nationally in recent years, the fastest-growing minority groups are being left behind. Only 25 and 18 percent of Blacks and Hispanics, respectively, hold at least an associate's degree, compared with 39 percent of Whites. Without substantial increases in educational attainment, particularly for our nation's already underserved groups, the United States will have a difficult time developing a robust economy.Home to 65 percent of Americans, and a majority of all African Americans and Hispanics (74 and 79 percent, respectively), the 100 largest metropolitan statistical areas (MSAs) can play a strong role in developing this nation's workforce. In fact, to reach a national attainment target that meets our workforce needs, more than half of college degrees could be generated from the these cities. The majority of degrees needed among African-American and Hispanic adults could also be produced in MSAs.Clearly, investing in and organizing around the potential of metropolitan areas is critical, and the stakes have never been higher. Yet the current funding climate requires strategic public and private partnerships to invest in education innovation and human capital development in order to have the most robust impact on sustainable national growth. For this study, the Institute for Higher Education (IHEP) sought to follow up on its previous work examining MSA educational attainment rates by further exploring policies that either inhibit or facilitate degree production, and identifying metropolitan-level, cross-section collaborations that help local leaders contribute to national completion goals

The Youngest Victims of the Opioid Epidemic

When babies are born to opioid-addicted mothers, they often develop Neonatal Abstinence Syndrome (NAS). NAS is characterized by symptoms associated with abrupt opioid withdrawal (“Neonatal Abstinence”, 2015). By preventing NAS in babies before they are born and properly caring for a baby with NAS after birth, we will aim to decrease the incidence of this condition and as its harmful effects in the lives of babies. In Ohio, there are many neonates suffering from NAS. The rates for babies born with NAS have quadrupled since 2011 when 2.2 out of every 1000 babies had NAS to 2015, where 12.3 out of 1000 babies suffer from NAS (“Number”, nd). NAS not only affects the baby immediately after birth, but also throughout the course of their lives. Babies with NAS are more likely to experience things like chronic stress, inconsistent caregiving, out-of-home placements, and long-term health issues. (“Long-Term Outcomes”, nd). To counter the problem of NAS, we would like to propose a two-part solution. This solution consists of medical care that first focuses on preventing NAS, and secondly treating its effects. Two treatments that show great promise in the prevention of NAS include the use of Ondansetron while the baby is in utero (“Ondansetron Pharmacokinetics”, 2014), and vaccination against opioids (“Novel pharmacotherapeutic”, 2012). The second part of the solution is used if these preventative treatments are not possible. In this case, the goal of treatment becomes to mitigate the effects of NAS. In this situation, promising interventions include stabilizing the baby in the NICU and admitting the baby to a facility specializing in NAS. In order to solve the ongoing health effects of NAS, we have two recommendations. The first is that specialized facilities enroll parents in counseling and parenting classes, reducing the chance that the child will experience out of home placement (“Assessment of”, 2014). Secondly, we propose that specialized facilities expand their scope of care to treat babies with NAS until age 18 with the goal of decreasing the incidence of common NAS-related health issues by providing more consistency in healthcare

Computational Stylometry: An Interdisciplinary Project

This project was an analysis of a writers word usage and writing tendencies which, allows a person to recognize a piece of work with out knowing who wrote it and make a reasonable guess about whose work it is

The Little Paint Site: A Classic Toyah Camp on the South Llano River, Kimble County, Texas

On behalf of the Texas Department of Transportation (TxDOT), SWCA Environmental Consultants (SWCA) conducted testing and data recovery investigations at the Little Paint site (41KM226), a prehistoric multi-component site in the US 377 right-of-way along the South Llano River in Kimble County, Texas. While the site revealed Archaic and Late Prehistoric components, the earlier components were stratigraphically intermixed. Consequently, data recovery focused almost entirely on a discrete Toyah component, which, based on earlier test excavations conducted in August and September 2006, had previously been determined to be eligible for listing on the National Register of Historic Places and as a State Archeological Landmark. SWCA performed the investigations under Texas Antiquities Permits 4184 and 4318. Kevin A. Miller served as Principal Investigator. The excavations recovered approximately 102 m2 of a stratigraphically-discrete Toyah component consisting of rock-lined hearths, Perdiz points, Cliffton points, a bird-bone bead, bone-tempered ceramics, bifaces, scrapers (notably end scrapers on blade-flakes), various informal lithic tools, drills, awls, debitage, and faunal remains. Based on the assemblage, the site is interpreted as a Toyah basecamp as indicated by a diversity of tool forms and site furniture. The component has good integrity, is vertically and horizontally discrete, and contains a substantial amount of archaeological materials. The suite of 16 radiometric dates indicates intermittent Toyah occupations between 240 and 570 years ago, a time range that is generally consistent with recognized span of the Toyah assemblage. The archaeological assemblage and site structure, however, suggests a possible single Toyah occupation. While not a focal point of the data recovery investigations, the excavations also recovered mixed Archaic components below the Toyah component. Artifacts include diagnostic point styles that indicate Late Archaic to early Late Prehistoric occupations, representing 1,000 to 2,000 years of the regional cultural chronology compressed within a thin stratum. Based on the findings, the depositional conditions below the Toyah component, as was previously determined by the testing data, were found to be generally not conducive to the formation of stratigraphic separation of the successive occupations. This compression resulted in intermixing of components and poor integrity. Below the mixed Archaic zone, deeply buried Middle to Early Archaic deposits were identified. These retained a better potential for significant isolable strata, but these deeper deposits were beyond the project impacts and therefore were not the subject of mitigative efforts. The deeper deposits are preserved by avoidance. As previously determined and further substantiated by the data recovery investigations, the Little Paint site, because of the Toyah component and perhaps earlier deposits, is eligible for National Register of Historic Places listing under Criterion D, 36 CFR 60.4, and eligible for State Archeological Landmark designation under Criteria 1 and 2 of the Rules of Practice and Procedure for the Antiquities Code of Texas, 13 TAC 26.8. The excavations have mitigated the adverse effects of the US 377 bridge replacement by recovering the vast majority of the Toyah component within the area of potential effect of the roadway undertaking. No further archaeological work is recommended. Portions of the site outside of the right-of-way have not been fully evaluated. The artifacts and records from the project are curated at the Center for Archaeological Studies, Texas State University

Adjustable Prone Trolley Design for People Suffering from Spinal Cord Injuries in Nepal

For people suffering from spinal cord injuries, it is important to stay active. However, with spinal cord injuries, the use of a wheelchair isn’t feasible. These patients require a prone trolley. A prone trolley is a horizontal pad with four wheels that a patient can maneuver and control while lying in a prone position. Our partner, International Nepal Fellowship (INF), deals directly with patients who suffer from spinal cord injuries on a daily basis. INF, a Christian, medical organization, manages a hospital in Pokhara, Nepal which specializes in treating patients with spinal cord injuries. The Nepal Prone Trolley Team’s goal is to provide our partner with a sustainable prone trolley design and create the required manufacturing documentation to enable them to produce the prone trolleys in country at their Green Pastures hospital. The team began our work by researching what a prone trolley is, how it functions and what is currently available. During the research, the team discovered that there weren’t many examples of a manually powered prone trolley or critical dimensions for ergonomics for manually powered trolleys. This drove the team to develop testing methods and preliminary designs specifically for INF. Various basic designs were considered, but, through communication with INF, a single design was chosen. Computer modeling of this design was used to decrease the overall weight of the trolley and simplify the frame. With most of the design finalized, the team is ready to begin prototyping next semester.https://mosaic.messiah.edu/engr2021/1012/thumbnail.jp

Obesity and insulin sensitivity effects on cardiovascular risk factors: Comparisons of obese dysglycemic youth and adults

Background: Obesity and pubertal insulin resistance worsen cardiovascular (CV) risk factors in youth. It is unclear how the relationships of obesity and insulin resistance with CV risk compare to adults. Subjects and Methods: We evaluated 66 pubertal youth (mean ± SD: age 14.2 ± 2.0 years, body mass index [BMI] 36.6 ± 6.0 kg/m2, hemoglobin A1c [HbA1c] 38.5 ± 6.1 mmol/mol) and 355 adults with comparable BMI (age 52.7 ± 9.4 years, BMI 35.1 ± 5.1 kg/m2, HbA1c 39.8 ± 4.2 mmol/mol) participating in a multicenter study. Insulin sensitivity was quantified using hyperglycemic clamps. Assessment of CV risk factors was standardized across sites. Regression analyses compared the impact of insulin sensitivity and CV risk factors between youth and adults. Results: Obese pubertal youth were more insulin resistant than comparably obese adults (P \u3c.001), but with similar slopes for the inverse relationship between insulin sensitivity and obesity. The impact of obesity on CV risk factors was explained by insulin sensitivity (P = NS after adjustment for sensitivity). The two age groups did not differ in relationships between insulin sensitivity and diastolic blood pressure, total cholesterol, and low-density lipoprotein (LDL) cholesterol, after adjusting for obesity. However, while systolic blood pressure (SBP) and high-density lipoprotein (HDL) cholesterol exhibited the expected direct and inverse relationships, respectively with insulin sensitivity in adults, these slopes were flat in youth across the range of insulin sensitivity (P ≤.05 for group differences). Conclusions: Effects of obesity on CV risk factors were attributable to insulin sensitivity in both groups. The relationships between insulin sensitivity and CV risk factors were similar in obese youth and adult groups except for SBP and HDL cholesterol. Clinical Trial Registration: The RISE consortium studies are registered through Clinicaltrials.gov as NCT01779362 (Adult Medication Study); NCT01763346 (Adult Surgery Study); and NCT01779375 (Pediatric Medication Study). Clinical trial registration numbers: NCT01779362, NCT01779375 and NCT01763346 at clinicaltrials.gov

Adjustable Prone Trolley Design for People Suffering from Spinal Cords Injuries in Nepal

For people who suffer from spinal cord injuries in Nepal, rehabilitation and care are often difficult to receive, especially for those for whom fewer resources are available. Thankfully, International Nepal Fellowship (INF), a non-profit serving Nepal for nearly 70 years, aids patients with spinal cord injuries at Green Pastures Hospital and Rehabilitation Centre in Pokhara, Nepal. A crucial part of any rehabilitation is adequate exercise to improve circulation and prevent sores and muscular atrophy. Yet, due to the nature of the injury, using a traditional wheelchair is not an option to fulfill this need for those with spinal cord injuries. Therefore, Green Pastures uses prone trolleys so that these patients can exercise. A prone trolley is a horizontal cushioned board where the patient lies flat on their stomach and is able to move themselves using the wheels attached to the cushioned board. Despite the importance of the prone trolley, the trolleys at Green Pastures Hospital have a few critical issues. The major issue is that the prone trolleys are internationally imported, which not only means that delivery can take months, but also that the trolleys are also difficult to repair when damaged. Both these factors severely hamper Green Pastures Hospital’s ability to provide spinal cord injured patients with the care they need. The Nepal Prone Trolley team, a part of Messiah University Collaboratory, seeks to develop and design a fundamentally better prone trolley for INF. The goal of our project is to design a prone trolley that can be fabricated by the INF staff with locally sourced materials. The advantage of this new design is that it will be easier to obtain and can easily be repaired when needed. After creating a design that satisfies our goal and fulfills the criteria of a functional prone trolley as defined by INF, we were able to fabricate a prototype of the prone trolley using resources and techniques available in Pokhara. Moving forward, we will conduct testing and redesign the trolley so that our finalized prone trolley design will be able to transform how Green Pastures Hospital aids their spinal cord injury patients. Funding for this work provided by The Collaboratory for Strategic Partnerships and Applied Research.https://mosaic.messiah.edu/engr2022/1011/thumbnail.jp