The Social Politics of Contemporary Greek Life Organizations

Existing literature has examined the manifestation of race-based treatment in non-Jesuit higher education Greek Life Organizations (GLOs). These studies found that the history of white male-only spaces such as GLOs made for an exclusive campus environment even after minority groups gained access to higher education. This paper seeks to understand whether these same exclusive tendencies manifest in Jesuit institutions that cherish inclusivity such as Santa Clara University. Thus, it asks: How does race impact college students’ experiences in Greek Life? This study utilizes 6 interviews conducted with white and non-white racially identifying members of Santa Clara University GLOs. Additionally, it analyzes 6 hours\u27 worth of digital observations on media affiliated with or in relation to Greek Life. The data found that an inductee\u27s racial identity was most significant during the rushing process. If and when an inductee was accepted into a GLO, race was no longer critical to the nature of their experiences. However, the data also indicated the significance of numerous non-identity measures to one’s experience which were: the importance of self-presentation, rationalization of the individual benefits, and idealized reforms to be made within the GLO. These findings suggest that one’s experience in GLOs is dictated by more than their racial identity. More importantly, in cultivating a harmonious environment within this prevalent social culture in many higher education institutions, GLOs need to do more than diversify their membership and reconcile with their racialized past

Navigating a Request for LVAD Termination in the Context of Depression

Objectives: 1)Describe an approach to assessing capacity for end-of-life decision making in apatient with depression 2)Recognize the Interdisciplinary Team’s (IDT)approach to navigating a patient’s request to discontinue a Left Ventricular Assist Device (LVAD) 3)Define the ethical principles that are involved inthedecision to withdraw LVAD therapy. Background: There is ethical consensus that patients with capacity have the right to stopany life-extendingmedical treatment, includingan LVAD. When a patient with depression requests discontinuation ofan LVAD, capacity for decision-making can be called into question, particularly when there has been inconsistency in expressed wishes. An Interdisciplinary approach is needed to navigate these decisions. Case: A 62year-old man had a stroke one month after LVAD implantation, resulting in hemiparesis,dependence for his basic needs, and need for transition to a nursing facility. During an admission two years later,he expressed that his quality of life was poor and he wanted to terminate his LVAD. He was found to be depressed and grieving an unexpected loss. He accepted treatment for depression and agreed with continuing LVAD therapy. Two months later, he reported that while life at the nursing facility was “not Disney World,” his quality of life was acceptable. Two weeks later, he returned to the hospital requesting LVAD termination. He acknowledged depressed mood, but felt I t stemmed entirely from his dependence on othersandwould never improve. His wife supported his decision and felt it was consistent with his long-standing values. Behavioral health, palliative care, ethics, and the heart failure team were involved. Although there was some evidence of fluctuation in his wishes over time,team consensus was that he had decision-making capacity and his request to discontinue the LVAD should be honored. Conclusion: Although extension of lifeis often seenas a benefit, we respected the autonomy of this patient to determinethat his quality of life was unacceptable and continuing life-extending treatment was not a benefit in his view. Depression was present but given the persistence of the patient’s request, clear rationale for his decision, and support from his wife, we respected his choice.https://scholarlycommons.henryford.com/merf2019caserpt/1031/thumbnail.jp

Electromyographic Analysis of Abdominal and Low Back Musculature during Use of an Experimental Stationary Bicycle

Background and Purpose. Currently, stationary bicycles do not incorporate exercise for the abdominal and low back musculature. An experimental stationary bicycle, the Magnus Cycle, has been developed to increase trunk muscle activation and, at the same time, provide aerobic conditioning. The purpose of this study is to assess the activity of the rectus abdominus, external oblique, erector spinae, rectus femoris and biceps femoris muscles during a stationary cycling setting and during a tilt-in-space setting of the Magnus Cycle. Subjects. Sixteen subjects, both men and women, between the ages of 18 and 30 participated in this study. Methods. Surface electromyography (EMG) was used to assess muscle activity from the rectus abdominus, external oblique, erector spinae, rectus femoris, and biceps femoris muscles during each phase of stationary and oscillating exercise. The raw EMG signal was rectified, smoothed and normalized to the respective muscle maximal voluntary contraction prior to data analysis. A repeated measures t-test was utilized to assess differences in EMG activity between minutes one and three of stationary cycling. DIfferences in the oscillating condition for forward and backward tilt was assessed using a repeated measures ANOVA, alpha = 0.05. For trials without differences between oscillations, one way ANOV A was performed to determine differences between stationary, foot forward, and foot backward tilt conditions. Results. In the feet forward position, the rectus abdominis, external obliques, and rectus femoris demonstrated significantly higher EMG activation compared to both the stationary and feet backward conditions (p\u3c.05). Activity of the erector spinae and biceps femoris muscles were not affected by the feet forward position. However, in the feet backward position, the erector spinae and biceps femoris muscles demonstrated significantly higher EMG activity compared to the stationary position and feet forward positions (p\u3c.05). The rectus abdominis, external obliques, and rectus femoris muscles were not affected by the feet backward condition. Discussion and Conclusion. The tilting Magnus Cycle significantly enhances activation of the rectus abdominis, external oblique, erector spinae, rectus femoris, and biceps femoris muscles compared to stationary cycling. The enhanced trunk muscle activity may make the Magnus Cycle a better option for a quicker, more beneficial workout than standard stationary bicycles

Réflexions des directeurs de programme sur les réformes des politiques nationales en matière d’éducation médicale : regards portés sur la prise de décision, l’agrément et le cadre CanMEDS

Background: Outcomes of national policy change impact all levels of the organizational hierarchy. The medical education literature is sparse on how reflections from program directors (PDs) on past large-scale policy changes can inform future policy initiatives. To fill this gap, we conducted a national survey on PDs’ perceptions of, and reflections on, decision-making in medical education, accreditation procedures, and the CanMEDS framework implementation. Methods: The survey was distributed to former Canadian specialty medicine PDs (N = 684). Descriptive analysis was performed on quantitative data, thematic analysis was performed on qualitative comments, and comparisons between the quantitative and qualitative findings were performed to identify areas of convergence and/or divergence. Results: A total of 265 (38.7%) former PDs participated. Quantitative analysis revealed that 52.8% of respondents did not feel involved in decision-making regarding policy changes, 45.1% of respondents did not feel prepared to assess the CanMEDS Roles, and PDs were divided on the reasonableness of accreditation documentation. Qualitative analysis produced four themes: communication, resources, expectations of outcomes, and buy-in. Nine sub-themes were also identified. A high level of convergence was identified across the content, with only four areas of divergence identified. Conclusions: Our findings have the potential to inform future policy and/or accreditation changes. Without the lens of those charged with overseeing the implementation, policy evaluation and quality improvement will remain uninformed. PDs, therefore, bring unique insights into our understanding of national policy changes, and without the voices of these frontline implementers, the true success of policy change implementation will be hindered.Contexte: Les effets des changements apportés aux politiques nationales se font sentir à tous les niveaux de la hiérarchie organisationnelle. La littérature traite peu du fait que l’opinion des directeurs de programme (DP) concernant les réformes d’envergure intervenues dans les politiques sur l'éducation médicale par le passé peut servir à éclairer les révisions de politiques futures. Afin de combler cette lacune, nous avons mené une enquête nationale pour sonder les DP sur leurs perceptions et réflexions quant à la prise de décision dans l'éducation médicale, aux procédures d'agrément et à la mise en œuvre du cadre CanMEDS. Méthodes: Le sondage a été distribué aux anciens DP en médecine spécialisée du Canada (N = 684). Les données quantitatives ont fait l'objet d'une analyse descriptive, les commentaires qualitatifs d'une analyse thématique, et une comparaison entre les résultats quantitatifs et qualitatifs a été effectuée pour repérer les domaines de convergence et de divergence. Résultats: Un total de 265 (38.7%) anciens DP ont participé au sondage. L'analyse quantitative a révélé que 52.8% des répondants ne se sentaient pas inclus dans la prise de décision en matière de changements de politiques, que 45.1% des répondants ne se sentaient pas en mesure d’évaluer les rôles CanMEDS, et qu’ils étaient partagés sur la question du caractère raisonnable des documents d'agrément. L'analyse qualitative a permis de dégager quatre thèmes: la communication, les ressources, les attentes en matière de résultats et l'adhésion. Neuf sous-thèmes ont également été définis. Nous avons constaté un niveau élevé de convergence sur l'ensemble du contenu, des divergences n'apparaissant que dans quatre domaines. Conclusions: Nos conclusions peuvent servir à orienter les changements futurs en matière de politiques et d'agrément. Sans le regard de ceux qui sont chargés de superviser leur mise en œuvre, l'évaluation des politiques et l'amélioration de la qualité demeureront mal fondées. La perspective unique des DP est essentielle à notre compréhension des révisions des politiques, et sans la contribution de ces responsables de première ligne de leur application, les réformes ne pourront être mises en œuvre de façon optimale

Slime-mold beetles.

167 p. : ill., maps ; 26 cm.Includes bibliographical references (p. 166-167).The Agathidium concinnum, A. pulchrum, A. compressidens, A. iota, and A. oniscoides groups are revised. The following new species are described: A. akallebregma, n.sp., A. akrogeneios, n.sp., A. amae, n.sp., A. andersoni, n.sp., A. appalachium, n.sp., A. aztec, n.sp., A. bituberculum, n.sp., A. bushi, n.sp., A. carolinense, n.sp., A. chauliodoum, n.sp., A. cheneyi, n.sp., A. cortezi, n.sp., A. disgregum, n.sp., A. divaricatum, n.sp., A. erythromelas, n.sp., A. fawcettae, n.sp., A. framea, n.sp., A. gallititillo, n.sp., A. georgiaense, n.sp., A. gomezae, n.sp., A. grandidentatum, n.sp., A. grumum, n.sp., A. hamulum, n.sp., A. hidalgoense, n.sp., A. hirsutum, n.sp., A. hyle, n.sp., A. impensum, n.sp., A. invisitatum, n.sp., A. iota, n.sp., A. iridescens, n.sp., A. kimberlae, n.sp., A. lobosternum, n.sp., A. marae, n.sp., A. megoniscoides, n.sp., A. microphthalmum, n.sp., A. multidentatum, n.sp., A. nimbosilva, n.sp., A. oaxacaense, n.sp., A. oculeum, n.sp., A. oedema, n.sp., A. oregonense, n.sp., A. pocahontasae, n.sp., A. popocatepetlae, n.sp., A. potosii, n.sp., A. recurvatum, n.sp., A. rhamphastes, n.sp., A. rumsfeldi, n.sp., A. sejunctum, n.sp., A. skoliosternum, n.sp., A. stenomma, n.sp., A. stephani, n.sp., A. tenangoense, n.sp., A. triangularum, n.sp., A. tribulograndum, n.sp., A. tribulosum, n.sp., A. tumidiventre, n.sp., A. vaderi, n.sp., A. vesperpressidens, n.sp. The following new synonyms are proposed: A. assimile Fall, A. municeps Fall, and A. falli Hatch = A. angulare Mannerheim, new synonyms; A. alticola Fall = A. athabascanum Fall, new synonym; A. contiguum Fall, A. varipunctatum Hatch, and A. striolum Hatch = A. picipes Fall, new synonyms; and A. californicum Horn and A. alutaceum Fall; = A. exiguum Melsheimer, new synonyms. Lectotypes are designated for the following species: A. angulare, A. californicum, A. concinnum Mannerheim, A. dentigerum Horn, A. difficile Matthews, A. effluens Mannerheim, A. exiguum, A. globatile LeConte, A. laetum Fall, A. pulchrum LeConte, A. rotundulum Mannerheim, A. rubellum Fall, A. ruficorne LeConte, and Phalacrus difformis LeConte

Insights in paleoclimate variability through the variographic analysis of stalagmite time series

Abstract Stalagmites are an increasingly important archive of paleoenvironmental change. The rate of annual growth rates of stalagmites is recorded in changes of calcite fabric, annual fluxes of fluorescent organic matter or annual variations in trace element composition. The determining processes governing stalagmite growth are increasingly well understood and modeled. At the scale of chemical processes, the physical controls of stalagmite growth are the flux of water, the CO 2 saturation of drip water relative to the cave atmosphere, and the temperature. The processes determining all three are complex and inter-related. Therefore, although past climates are recorded in the growth laminaes, the climatic signal is perturbed by a noise component related to local hydrologic factors. To separate local from global factors, we used geostatistical tools to analyze annual growth rate data from 11 stalagmites located on 4 different continents. The records range from 200 to 2500 years before present. Detailed variographic analyses showed that the temporal correlation of growth rates is of a specific type in all 11 stalagmites, which has never been observed before. The growth derivative is highly anticorrelated at a lag of 1 year, meaning that an increase in growth rate tends to be systematically followed by a decrease in growth rate. We call this behavior a "flickering" growth. Flickering cannot be explained by climatic factors that tend to vary on larger time scales, and therefore must be related to changes in local hydrologic conditions. We show that the intensity of flickering fluctuates in the last millennia, giving insights in the temporal scale of variability of hydrologic systems under natural conditions

Peripheral Display in Virtual Reality Environments involves Higher Cognitive Demands Compared to Centered Display during Dual-Tasking

Peripheral displays may require higher attention allocation compared to centered displays. This study investigated how cognitive load with peripheral dual-tasking affected gait variability in healthy young adults compared to centered dual-tasking. Eleven healthy young adults (23.8±1.25 years) participated in the experiment. Participants performed three trials of three different tests while walking on the treadmill. The tasks were randomly assigned as i) normal walking without dual tasking, ii) walking with a centered cognitive arithmetic test or centered dual-tasking (DTC) and iii) walking with peripheral cognitive arithmetic test or peripheral dual-tasking (DTP). Gait parameters were evaluated for all three task conditions. We found step width significantly increased during DTP compared to the control walking condition (p\u3c0.05). Our results revealed that DTP was challenging even for healthy young adults and thus leading to adaptations in step width. Our results show that DTP has clinical diagnostic values in revealing subtle gait deviations and can potentially be used to assess Parkinson’s disease and post-concussion disorders

Concert recording 2017-04-12b

[Track 1]. Angel Falls / Lewis Songer -- [Track 2]. Grand Canyon Octet. Andante appassionato [Track 3]. Lento-allegro molto / Eric Ewazen -- [Track 4]. Quipperies / Lowell Shaw -- [Track 5]. Birdland / Josef Zawinul arranged by Kummerlander

The need for consensus on delineation and dose constraints of dentofacial structures in paediatric radiotherapy: Outcomes of a SIOP Europe survey.

BACKGROUND AND PURPOSE: Children receiving radiotherapy for head-and-neck tumours often experience severe dentofacial side effects. Despite this, recommendations for contouring and dose constraints to dentofacial structures are lacking in clinical practice. We report on a survey aiming to understand current practice in contouring and dose assessment to dentofacial structures. METHODS: A digital survey was distributed to European Society for Paediatric Oncology members of the Radiation Oncology Working Group, and member-affiliated centres in Europe, Australia, and New Zealand. The questions focused on clinical practice and aimed to establish areas for future development. RESULTS: Results from 52 paediatric radiotherapy centres across 27 countries are reported. Only 29/52 centres routinely delineated some dentofacial structures, with the most common being the mandible (25 centres), temporo-mandibular joint (22), dentition (13), orbit (10) and maxillary bone (eight). For most bones contoured, an 'As Low As Reasonably Achievable' dose objective was implemented. Only four centres reported age-adapted dose constraints.The largest barrier to clinical implementation of dose constraints was firstly, the lack of contouring guidance (49/52, 94%) and secondly, that delineation is time-consuming (33/52, 63%). Most respondents who routinely contour dentofacial structures (25/27, 90%) agreed a contouring atlas would aid delineation. CONCLUSION: Routine delineation of dentofacial structures is infrequent in paediatric radiotherapy. Based on survey findings, we aim to 1) define a consensus-contouring atlas for dentofacial structures, 2) develop auto-contouring solutions for dentofacial structures to aid clinical implementation, and 3) carry out treatment planning studies to investigate the importance of delineation of these structures for planning optimisation

Concert recording 2017-11-15

[Track 1]. Fanfare for barcs / Kerry Turner -- [Track 2]. Three for five / James Naigus -- [Track 3]. Big sky country / Daniel Baldwin