Administrative Compensation for Medical Injuries: Lessons From Three Foreign Systems

Examines "no-fault" systems in New Zealand, Sweden, and Denmark, in which patients injured by medical negligence can file for compensation through governmental or private adjudicating organizations. Considers lessons for U.S. medical malpractice reform

I, Too, Am a Woman: an Emancipatory Text on the Intersections of Race, Gender, and Sexuality

This inquiry builds upon Black Feminism and Critical Race Feminist frameworks by exploring the juxtaposition between Black Women and Queer Black Women. It is also an exploration of the similarities between Queer Black Women and Black Women and how they interact with femininity and masculinity, patriarchy, and heteronormativity. Claiming digital space through podcasting, it honors the power of counter narratives by employing autoethnographical story telling. It examines the multivalent ways in which critical geographies, safe spaces, and homeplaces nurture or alienate Black Women on the basis of sexual orientation, gender performance, race, and social class. Employing tenets of Black Feminist Thought, Critical Race Feminism, Black Queer Studies, and Black Cultural Studies this work reveals that the gap between margins of Queer Black Womanhood and Black Womanhood is a critical geography ripe with the fertile soil necessary to nourish a reimagined Black Feminist Agenda that is complex, progressive, and inclusive

Rationalizing Noneconomic Damages: A Health-Utilities Approach

Studdert et al examine why making compensation of noneconomic damages in personal-injury litigation more rational and predictable is socially valuable. Noneconomic-damages schedules as an alternative to caps are discussed, several potential approaches to construction of schedules are reviewed, and the use of a health-utilities approach as the most promising model is argued. An empirical analysis that combines health-utilities data created in a previous study with original empirical work is used to demonstrate how key steps in construction of a health-utilities-based schedule for noneconomic damages might proceed

From Pre-Defined Topics to Research Questions: An Inquiry-Based Approach to Knowledge

In this interactive presentation, MSU librarians will replicate a library instruction session for first-year students. Audience members will participate in a Cephalonian Method icebreaker activity and use clickers to demonstrate the different ways both techniques can be used in the classroom. Participants will view a short (3-4 min.) video, develop critical questions, and construct keywords to begin finding answers. Instruction librarians will show how the answers are the basis of their thesis statements. Next, audience members will be divided into groups and directed to find information on the Web, the route a first-year student would naturally take. Then, groups will search for background information, scholarly articles, books, viewpoint essays, and general Web resources. A discussion will evolve about the myriad of limitations with using Web resources and the benefits of using parallel library resources such as online specialty encyclopedias, journal indexes, signed viewpoint articles, and the library catalog. Then instruction librarians will fully explore the benefits of using library resources to help students find authoritative, credible, and relevant sources in the academic library. The session ends with discussing what was discovered during the presentation, showing the customized course guide where all the library resources are organized, and giving a final clicker quiz to assess what was learned and what may still be unclear. Take away valuable tips and techniques from this session to use for your own information literacy instruction sessions

Hyporheic Interactions Increase Zinc Exposure and Effects on Hyalella azteca in Sediments under Flow‐Through Conditions

Groundwater–surface water interactions in the hyporheic transition zone can influence contaminant exposure to benthic macroinvertebrates. In streams, hyporheic flows are subject to varying redox conditions, which influence biogeochemical cycling and metal speciation. Despite these relationships, little is known about how these interactions influence the ecological risk of contaminants. The present study investigated the effects of hyporheic flows and zinc (Zn)‐contaminated sediments on the amphipod Hyalella azteca. Hyporheic flows were manipulated in laboratory streams during 10‐d experiments. Zinc toxicity was evaluated in freshly spiked and aged sediments. Hyporheic flows altered sediment and porewater geochemistry, oxidizing the sediments and causing changes to redox‐sensitive endpoints. Amphipod survival was lowest in the Zn sediment exposures with hyporheic flows. In freshly spiked sediments, porewater Zn drove mortality, whereas in aged sediments simultaneously extracted metals (SEM) in excess of acid volatile sulfides (AVS) normalized by the fraction of organic carbon (fOC) [(SEM‐AVS)/fOC] influenced amphipod responses. The results highlight the important role of hyporheic flows in determining Zn bioavailability to benthic organisms, information that can be important in ecological risk assessments. Environ Toxicol Chem 2019;38:2447–2458. © 2019 SETACPeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152028/1/etc4554.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152028/2/etc4554_am.pd

Incorporating climate change into invasive species management: insights from managers

Invasive alien species are likely to interact with climate change, thus necessitating management that proactively addresses both global changes. However, invasive species managers’ concerns about the effects of climate change, the degree to which they incorporate climate change into their management, and what stops them from doing so remain unknown. Therefore, we surveyed natural resource managers addressing invasive species across the U.S. about their priorities, concerns, and management strategies in a changing climate. Of the 211 managers we surveyed, most were very concerned about the influence of climate change on invasive species management, but their organizations were significantly less so. Managers reported that lack of funding and personnel limited their ability to effectively manage invasive species, while lack of information limited their consideration of climate change in decision-making. Additionally, managers prioritized research that identifies range-shifting invasive species and native communities resilient to invasions and climate change. Managers also reported that this information would be most effectively communicated through conversations, research summaries, and meetings/symposia. Despite the need for more information, 65% of managers incorporate climate change into their invasive species management through strategic planning, preventative management, changing treatment and control, and increasing education and outreach. These results show the potential for incorporating climate change into management, but also highlight a clear and pressing need for more targeted research, accessible science communication, and two-way dialogue between researchers and managers focused on invasive species and climate change

Use of the Montreal Cognitive Assessment (MoCA) in a Rural Outreach Program for Military Veterans

The Montreal Cognitive Assessment (MoCA) is a free, easily accessible screener ideal for rural areas where resources are limited. We examined administration and scoring by Veteran Community Outreach Health Workers (VCOHWs); compared positive screening rates using two cutoff scores; and examined predictors of education-adjusted scores in N = 168 rural military Veterans from the Alabama Veteran Rural Health Initiative. Accuracy of administration (95 percent) and scoring (68 percent) was calculated and recommendations are offered. Higher than expected rates of positive screens were observed (40 percent using 24/30 cutoff) in this relatively young (M = 55 years) community-dwelling sample. Age, education, and race but not subjective health predicted differences in domain and total education-adjusted scores on multivariate and univariate tests. This study advances social science research in rural communities by being the first to: (1) examine MoCA scores in a rural, Deep South U.S. sample; and (2) report fidelity administration data for VCOHWs

The 6-minute walk test and other endpoints in Duchenne muscular dystrophy: longitudinal natural history observations over 48 weeks from a multicenter study.

IntroductionDuchenne muscular dystrophy (DMD) subjects ≥5 years with nonsense mutations were followed for 48 weeks in a multicenter, randomized, double-blind, placebo-controlled trial of ataluren. Placebo arm data (N = 57) provided insight into the natural history of the 6-minute walk test (6MWT) and other endpoints.MethodsEvaluations performed every 6 weeks included the 6-minute walk distance (6MWD), timed function tests (TFTs), and quantitative strength using hand-held myometry.ResultsBaseline age (≥7 years), 6MWD, and selected TFT performance are strong predictors of decline in ambulation (Δ6MWD) and time to 10% worsening in 6MWD. A baseline 6MWD of <350 meters was associated with greater functional decline, and loss of ambulation was only seen in those with baseline 6MWD <325 meters. Only 1 of 42 (2.3%) subjects able to stand from supine lost ambulation.ConclusionFindings confirm the clinical meaningfulness of the 6MWD as the most accepted primary clinical endpoint in ambulatory DMD trials

Emerging Developments in Microbiome and Microglia Research: Implications for Neurodevelopmental Disorders

From immunology to neuroscience, interactions between the microbiome and host are increasingly appreciated as potent drivers of health and disease. Epidemiological studies previously identified compelling correlations between perinatal microbiome insults and neurobehavioral outcomes, the mechanistic details of which are just beginning to take shape thanks to germ-free and antibiotics-based animal models. This review summarizes parallel developments from clinical and preclinical research that suggest neuroactive roles for gut bacteria and their metabolites. We also examine the nascent field of microbiome-microglia crosstalk research, which includes pharmacological and genetic strategies to inform functional capabilities of microglia in response to microbial programming. Finally, we address an emerging hypothesis behind neurodevelopmental disorders, which implicates microbiome dysbiosis in the atypical programming of neuroimmune cells, namely microglia