How research-based theatre is a solution for community engagement and advocacy at regional medical campuses: The Health and Equity through Advocacy, Research, and Theatre (HEART) program

Background: Regional medical campuses are often located in geographic regions that have different populations than the main campus, and are well-positioned to advocate for the health needs of their local community to promote social accountability within the medical school.Methods: At the Niagara Regional Campus of McMaster University, medical students developed a framework which combined research, advocacy, and theatre to advocate for the needs of the local population of the regional campus to which they were assigned. This involved a qualitative study using semi-structured interviews with homeless individuals to explore their experience accessing the healthcare system and using a transformative framework to identify barriers to receiving quality healthcare services. Findings from the qualitative study informed a play script that presented the experiences of homeless individuals in the local health system, which was presented to health sciences learners and practicing health professionals. Participants completed two instruments to examine the utility of this framework.Results: Research-based theatre was a useful intervention to educate current and future health professionals about the challenges faced by homeless individuals in the region. Participants from both shows felt the framework of research-based theatre was an effective strategy to promote change and advocate for marginalized populations.Conclusion: Research-based theatre is an innovative approach which can be utilized to promote social accountability at regional medical campuses, advocating for the health needs of the communities in which they are located, with the added bonus of educating current and future health professionals

The clustering of Luminous Red Galaxies around MgII absorbers

We study the cross-correlation between 212 MgII quasar absorption systems and \~20,000 Luminous Red Galaxies (LRGs) selected from the Sloan Digital Sky Survey Data Release 1 in the redshift range 0.4<z<0.8. The MgII systems were selected to have 2796 & 2803 rest-frame equivalent widths >=1.0 Angstrom and identifications confirmed by the FeII 2600 or MgI 2852 lines. Over comoving scales 0.05--13 h^-1 Mpc, the MgII--LRG cross-correlation has an amplitude 0.69+/-0.09 times that of the LRG--LRG auto-correlation. Since LRGs have halo-masses greater than 3.5 x 10^12 solar masses for M_R<-21, this relative amplitude implies that the absorber host-galaxies have halo-masses greater than 2--8 x 10^11 Msun. For 10^13 Msun LRGs, the absorber host-galaxies have halo-masses 0.5--2.5 x 10^12 Msun. Our results appear consistent with those of Steidel et al. (1994) who found that MgII absorbers with W_r>=0.3 Angstrom are associated with ~0.7 L^*_B galaxies.Comment: 7 pages, 3 figs; Accepted for publication in MNRAS Letters; Extended version with Appendix; Text version of MgII absorber catalogue (Table 1) can be found at http://www.ast.cam.ac.uk/~mim/pub.html. Minor changes to match the published tex

Impact of Outpatient vs Inpatient ABSSSI Treatment on Outcomes: A Retrospective Observational Analysis of Medical Charts Across US Emergency Departments

Background The objective of this study was to characterize treatment of patients with acute bacterial skin and skin structure infections (ABSSSIs) and describe the association between hospital admission and emergency department (ED) visits or readmissions within 30 days after initial episode of care (IEC). Methods This was a retrospective, observational, cohort study of adults with ABSSSI who presented to an ED between July 1, 2012, and June 30, 2013. Patient, health care facility, and treatment characteristics, including unplanned ED visits or readmissions, were obtained through manual chart review and abstraction. Adjusted logistic regression analysis examined likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients. Results Records from 1527 ED visits for ABSSSI from 40 centers were reviewed (admitted, n = 578 [38%]; nonadmitted, n = 949 [62%]). Admitted patients were typically older (mean age, 52.2 years vs 43.0 years), more likely to be morbidly obese (body mass index \u3e 40 kg/m2; 17.3% vs 9.1%), and had more comorbidities (Charlson Comorbidity Index ≥ 4; 24.4% vs 6.8%) compared with those not admitted. In the primary analysis, adjusted logistic regression, controlling for comorbidities and severity of illness, demonstrated that there was a similar likelihood of all-cause unplanned ED visits or readmissions between admitted and nonadmitted patients (odds ratio, 1.03; 95% confidence interval, 0.74–1.43; P = .87). Conclusions ABSSSI treatment pathways leveraging outpatient treatment vs hospital admission support similar likelihood of unplanned 30-day ED visits or readmissions, an important clinical outcome and quality metric at US hospitals. Further research regarding the decision criteria around hospital admission to avoid potentially unnecessary hospitalizations is warranted

The Weak Clustering of Gas-Rich Galaxies

We examine the clustering properties of HI-selected galaxies through an analysis of the HI Parkes All-Sky Survey Catalogue (HICAT) two-point correlation function. Various sub-samples are extracted from this catalogue to study the overall clustering of HI-rich galaxies and its dependence on luminosity, HI gas mass and rotational velocity. These samples cover the entire southern sky Dec < 0 deg, containing up to 4,174 galaxies over the radial velocity range 300-12,700 km/s. A scale length of r_0 = 3.45 +/- 0.25 Mpc/h and slope of gamma = 1.47 +/- 0.08 is obtained for the HI-rich galaxy real-space correlation function, making gas-rich galaxies among the most weakly clustered objects known. HI-selected galaxies also exhibit weaker clustering than optically selected galaxies of comparable luminosities. Good agreement is found between our results and those of synthetic HI-rich galaxy catalogues generated from the Millennium Run CDM simulation. Bisecting HICAT using different parameter cuts, clustering is found to depend most strongly on rotational velocity and luminosity, while the dependency on HI mass is marginal. Splitting the sample around v_rot = 108 km/s, a scale length of r_0 = 2.86 +/- 0.46 Mpc/h is found for galaxies with low rotational velocities compared to r_0 = 3.96 +/- 0.33 Mpc/h for the high rotational velocity sample.Comment: Accepted for publication in the Astrophysical Journa

Mediastinal Lymphangioma and Chylothorax: Thoracic Involvement of Gorham's Disease

We report a case of mediastinal lymphangioma associated with Gorham's disease in a 38-year-old man who had suffered recurrent clavicular fractures during a seven-year period. Mediastinal widening associated with osteolysis of the clavicles and the sternal manubrium was revealed by chest radiography, while computed tomography demonstrated a cystic anterior mediastinal mass infiltrating mediastinal fat and associated with osseous destruction of the clavicles and manubrium. Chylothorax recurred during the course of the disease

The nature of red dwarf galaxies

Using dark matter halos traced by galaxy groups selected from the Sloan Digital Sky Survey Data Release 4, we find that about 1/4 of the faint galaxies (\rmag >-17.05, hereafter dwarfs) that are the central galaxies in their own halo are not blue and star forming, as expected in standard models of galaxy formation, but are red. In contrast, this fraction is about 1/2 for dwarf satellite galaxies. Many red dwarf galaxies are physically associated with more massive halos. In total, about $\sim 45$% of red dwarf galaxies reside in massive halos as satellites, while another $\sim 25$% have a spatial distribution that is much more concentrated towards their nearest massive haloes than other dwarf galaxies. We use mock catalogs to show that the reddest population of non-satellite dwarf galaxies are distributed within about 3 times the virial radii of their nearest massive halos. We suggest that this population of dwarf galaxies are hosted by low-mass halos that have passed through their massive neighbors, and that the same environmental effects that cause satellite galaxies to become red are also responsible for the red colors of this population of galaxies. We do not find any significant radial dependence of the population of dwarf galaxies with the highest concentrations, suggesting that the mechanisms operating on these galaxies affect color more than structure. However, over 30% of dwarf galaxies are red and isolated and their origin remains unknown.Comment: 9 pages, 8 figures, Accepted for publication in Ap

Halo-model Analysis of the Clustering of Photometrically Selected Galaxies from SDSS

We measure the angular 2-point correlation functions of galaxies in a volume limited, photometrically selected galaxy sample from the fifth data release of the Sloan Digital Sky Survey. We split the sample both by luminosity and galaxy type and use a halo-model analysis to find halo-occupation distributions that can simultaneously model the clustering of all, early-, and late-type galaxies in a given sample. Our results for the full galaxy sample are generally consistent with previous results using the SDSS spectroscopic sample, taking the differences between the median redshifts of the photometric and spectroscopic samples into account. We find that our early- and late- type measurements cannot be fit by a model that allows early- and late-type galaxies to be well-mixed within halos. Instead, we introduce a new model that segregates early- and late-type galaxies into separate halos to the maximum allowed extent. We determine that, in all cases, it provides a good fit to our data and thus provides a new statistical description of the manner in which early- and late-type galaxies occupy halos.Comment: Accepted to MNRAS 11 pages, 6 figure