The Phenomenon of Collaboration: A Phenomenologic Study of Collaboration between Family Medicine and Obstetrics and Gynecology Departments at an Academic Medical Center

Collaboration is essential to manage complex real world problems. We used phenomenologic methods to elaborate a description of collaboration between two departments at an academic medical center who considered their relationship to represent a model of effective collaboration. Key collaborative structures included a shared vision and commitment by leaders, rigorous quality improvement, clear delineation of roles with built-in flexibility, ongoing commitment to formal and informal communication channels and conflict resolution, relationship development grounded in respect and responsiveness, and shared training in a supportive learning environment with legitimate participation fostering skill development. This study reveals the complexity and resources required for collaboration which both explains why collaboration is not as easy to achieve and identifies processes that foster collaboration

Cultural Competency Observation Tool

This observational assessment rubric includes rating of the elements of patient centered communication defined in the Kalamazoo Consensus Statement regarding patient centered communication: These are augmented with sections that highlight factors that emerged in our observations specific to intercultural communication such as language and interpreters, nonverbal communication, mental and social issues with a large cultural overlay (mental health, pain, and disability). In addition, the tool incorporates issues specific to the medical context such as professional competence and professional regard. The rubric is also informed by the developmental model of intercultural sensitivity and Dreyfus\u27s phenomenology of skill acquisition with skill levels progressing through the stages: novice, beginner, competence, proficient, mastery

The Grizzly, October 4, 1985

Patterns for the Future Begin the Campaign • Rendell Enforces the Death Penalty • Ursinus: A Good Buy • Letters: Alpha Sigma Nu\u27s Pride Comes Through; WVOU Prints a Schedule • Editorial: How About a Little Help From Some Friends? • Homecoming 1957: Not so Different From Now • Alumni Search for Success: Holly Hayer • There was a Resume Workshop Seniors • Voices to be Performed at Ritter • Field Hockey Team: Leaving Teams in the Dust • Grizzlies Overcome a Ten Year Nemesis! • Cross Country Teams Survive Gloria • Homecoming Events Announced • Campus Security Noteshttps://digitalcommons.ursinus.edu/grizzlynews/1146/thumbnail.jp

The Grizzly, October 25, 1985

Registration has Come Upon Us • RA Supervision Allows Reimert\u27s Co-ed Transition • Siblings Sharing the Same Experience • One Hundred Years of Tradition Passes With Fretz • Prof. Profile: Armstrong Balances his own Studies With Students\u27 Studies • In Search of Success: Lehman Leans Towards Stockbroker • Letters: What is That Eye Material?; Walter Still Upset; Music Comes to UC • Scram Leaves its Name in Reimert History • Concert Review: Bon Jovi and Ratt Draw a Crowd of Leather • Wanted: Attempted Murder • Bears Fall to Fifth Ranked Gettysburg • Annual Snell Game Ends in a Tie • Booters Win a Big One Over Haverford Squad • Mers Ready to Plunge Into Season • New Course at U.C.: Human Sexuality • Richter Named as Chairman • How to Handle the Effects of Harmful Stress • Roving Reporter: Do You Think Fraternities and Sororities are a Positive Aspect of Campus Life?https://digitalcommons.ursinus.edu/grizzlynews/1149/thumbnail.jp

The Grizzly, October 11, 1985

Student Assaulted on Main Street • Well on the Track Back to Wellness • Time can be an Enemy or Ally • Letters: USGA Wants a Discount; Classics Club Revived • I.F. Image • U.C. Player of the Week • Alumni Search for Success: Ron Marcy • Graduate School Could be Around the Corner • The Lantern is Waiting for You • Grizzlies are Performing Some Impressive Feats • Women\u27s Field Hockey Keeps a Tradition Flowing • Notes: Poole Appointed to Directors Board; An Array of Music; Dr. Yost Prints his Book; Campus Security • Lent Twins: One Step in Front of the Other • U.C. Runs Over Opposition • Roving Reporter: What do you Think About the Current Alcohol Policy on Campus?https://digitalcommons.ursinus.edu/grizzlynews/1147/thumbnail.jp

Investigations of the Andean Past: Papers from the First Annual Northeast Conference on Andean Archaeology and Ethnohistory

The papers included in this volume represent fourteen of the twenty-three original papers presented at the First Annual Northeast Conference on Andean Archaeology and Ethnohistory held at Cornell University on November 13th and 14th, 1982. The papers are: The Preceramic Occupations of the Casma Valley, Peru by Michael A. Malpass, The Historical Development of a Coastal Andean Social Formation in Central Peru, 6000 to 500 B.C. by Thomas C. Patterson, Stone Tools in Ceramic Contexts: Exploring the Unstructured by Joan M. Gero, Possible Uses, Roles, and Meanings of Chavin-style Painted Textiles of South Coast Peru by Rebecca R. Stone, Megalithic Sites in the Nepena Valley, Peru by Richard E. Daggett, Huaca del Loro Revisited: The Nasca-Huarpa Connection by Allison C. Paulsen, Spatial Patterning and the Function of a Huari Architectural Compound by Christine C. Brewster-Wray, The Development of Huari Administrative Architecture by Lynda E. Spickard, Aspects of State Ideology in Huari and Tiwanaku Iconography: The Central Deity and the Sacrificer by Anita G. Cook, Shared Ideology and Parallel Political Development: Huari and Tiwanaku by William H. Isbell, Casma Incised Pottery: An Analysis of Collections from the Nepena Valley by Cheryl Daggett, High Altitude Land Use in the Huamachuco Area by T. McGreevy and R. Shaughnessy, La Lengua Pescadora: the Lost Dialect of Chimu Fishermen by Joel Rabinowitz, and The Chancas of Angaraes: 1450(?)--1765 by Paul H. Dillon.https://digitalcommons.library.umaine.edu/andean_past_special/1002/thumbnail.jp

The Grizzly, September 20, 1985

Forum Season Opens with Summit Diplomacy • The Fields Are Coming • Zeta Chi Escapes Suspension • Lack of Water • The Water Warden is Watching You • Intramural Squeeze • What\u27s Your Opinion? • Japanese Now Available • Prof Profile: Perreten Leads the List • Dominic O\u27Brien Joins the Education Team • Album Review: Squeeze Producing the Same Old Sound • Jamison Appointed to Library Director • Football Team Stretches for New Goals • Women\u27s Field Hockey Climbing the Ladder! • Volleyball Team Has Promise • The Harriers are Off • Bears Win Ugly • More Talk About South Africa • New Forum Force • Whiteley: A Model of Desire and Determination •New Security Column • Grant Me Thishttps://digitalcommons.ursinus.edu/grizzlynews/1144/thumbnail.jp

The Grizzly, November 22, 1985

From Damp to Bone Dry? • UCFL Takes to the Air: Or Visa Versa • It\u27s all Greek to me • The Descent on the Skunks of Ursinus • Editorial: Yale Conference a Learning Experience • Letter: Munchies Mandate • Who\u27s Who Honors Ursinus • How to Deal with Terrorists? • Two Truman Scholars • In Search of Success: Marivi Relova Brings Good Things to GE • Communication a Must • Bears Bounce Dickinson • Booters Find Cold Times in New Hampshire • Soccer Seniors Will be Missed • Coach B. is Back • Lady Bears Hope to Improve Behind Letuakas • Season Tips Off Tonight • Gymnasts Spring into Season • Alercio Faces J Board • Myrin Stacks Up • Fields Should be Ready in Spring • Immersion as Opposed to Voyeurism in Summer Study in France • Smokeless Tobacco Still Burns • Women\u27s Studies Added to Goal No. 9 • Eating Healthy at College Essential • Open Dialogs: Middle Class on Welfare?; Mercy Killing as a Solution; Birth Defects Popular With Geneticists • Ursinus College: The Marriage Factoryhttps://digitalcommons.ursinus.edu/grizzlynews/1153/thumbnail.jp

Effects of Anacetrapib in Patients with Atherosclerotic Vascular Disease

BACKGROUND: Patients with atherosclerotic vascular disease remain at high risk for cardiovascular events despite effective statin-based treatment of low-density lipoprotein (LDL) cholesterol levels. The inhibition of cholesteryl ester transfer protein (CETP) by anacetrapib reduces LDL cholesterol levels and increases high-density lipoprotein (HDL) cholesterol levels. However, trials of other CETP inhibitors have shown neutral or adverse effects on cardiovascular outcomes. METHODS: We conducted a randomized, double-blind, placebo-controlled trial involving 30,449 adults with atherosclerotic vascular disease who were receiving intensive atorvastatin therapy and who had a mean LDL cholesterol level of 61 mg per deciliter (1.58 mmol per liter), a mean non-HDL cholesterol level of 92 mg per deciliter (2.38 mmol per liter), and a mean HDL cholesterol level of 40 mg per deciliter (1.03 mmol per liter). The patients were assigned to receive either 100 mg of anacetrapib once daily (15,225 patients) or matching placebo (15,224 patients). The primary outcome was the first major coronary event, a composite of coronary death, myocardial infarction, or coronary revascularization. RESULTS: During the median follow-up period of 4.1 years, the primary outcome occurred in significantly fewer patients in the anacetrapib group than in the placebo group (1640 of 15,225 patients [10.8%] vs. 1803 of 15,224 patients [11.8%]; rate ratio, 0.91; 95% confidence interval, 0.85 to 0.97; P=0.004). The relative difference in risk was similar across multiple prespecified subgroups. At the trial midpoint, the mean level of HDL cholesterol was higher by 43 mg per deciliter (1.12 mmol per liter) in the anacetrapib group than in the placebo group (a relative difference of 104%), and the mean level of non-HDL cholesterol was lower by 17 mg per deciliter (0.44 mmol per liter), a relative difference of -18%. There were no significant between-group differences in the risk of death, cancer, or other serious adverse events. CONCLUSIONS: Among patients with atherosclerotic vascular disease who were receiving intensive statin therapy, the use of anacetrapib resulted in a lower incidence of major coronary events than the use of placebo. (Funded by Merck and others; Current Controlled Trials number, ISRCTN48678192 ; ClinicalTrials.gov number, NCT01252953 ; and EudraCT number, 2010-023467-18 .)

Metabolic syndrome and prevalence in an urban, medically underserved, community-based population

The metabolic syndrome is a constellation of risk factors thought to indicate increased risk for type 2 diabetes (T2DM) and cardiovascular disease (CVD). Clinical utility of the metabolic syndrome lies in identifying patients at risk of T2DM and CVD and motivating them to reduce underlying risks. However, there appears to be a paradoxical difference in the incidence and prevalence of the metabolic syndrome when comparing African Americans to other population groups. This study is meant to examine capability of detecting metabolic syndrome among minority individuals in a community-based sample. Relevant measures were collected from 107 community-members at a community-based event. Means for measures were calculated, as were estimates of the sample likely to have metabolic syndrome based on ATP-III criteria. Participants had a mean age of 49.5 years. Various proportions of the sample reflected components of the metabolic syndrome using ATP-III criteria, including high blood pressure (59.6%), elevated waist circumference (49.3%), elevated triglyceride levels (33.7%), elevated fasting blood glucose levels (28.6%) and reduced HDL-C (26.7%). Prevalence of metabolic syndrome was considered for 71 (66.35%) of the sample with adequate data; 28.17% presented with three or more of the ATP-III components. There is a need for a primary prevention intervention among minority community-members. An intensive lifestyle intervention to address all of the metabolic risk factors simultaneously, including an atherogenic diet, weight loss, increased physical activity and smoking cessation is preferable rather than only pharmacologic treatment