What About the “T’s”?: Addressing the Needs of a Transgender Student at a CCCU Member Institution

As the discussion of the LGBT community continues to evolve and inform decisions at higher education institutions, evidence suggests the “T”–transgender–discussion at CCCU institutions has remained stagnant and largely unrecognized. In June 2011 ACSD’s New Professionals Collaborative asked professionals to present a case study on how a CCCU institution would house a transgender student who had already been admitted into the institution. The authors found the literature on the subject to be sparse, and within the Christian context it is nearly nonexistent. The few precedents and best practices on housing a transgender student do not appear to align with the values of a CCCU institution. There are, however, a few viable housing options to explore, and while an exhaustive list was not created, several of the most likely are examined and discussed. Understanding that a transgender student’s situation is unique and recognizing a lack of knowledge, precedent, and expertise on the subject, the recommendation is to have a conversation with the student about institutional fit. If an agreement to live by the institution’s values is reached, the authors assert housing the student with his/her biological sex most aligns with the institution’s values. Ultimately, the most compelling conclusion and discussion is that CCCU institutions must urgently lay a philosophical and theological foundation on the transgender issue

Koinonia

Best Practices FeaturesStudents of Concern Committee: Coordinating Care, Connie Horton and Mark Davis Want to Change Student Culture on Your Campus? Do the CORE!, Eric Lowdermilk Spotlight FeaturesYou Only Get 1 Up, Justin Heth and Caleb Farmer The Season, Sharon Virkler Book ReviewsThe Future of Christian Learning: An Evangelical and Catholic Dialogue (by Mark Noll and James Turner), reviewed by Philip D. Byers Restoring Rebecca: A Story of Traumatic Stress, Caregiving and the Unmasking of a Superhero (by Christopher Marchand), reviewed by David M. Johnstone A Review of Culture Making: Recovering our Creative Calling (by Andy Crouch), reviewed by Jeff Rioux Revisiting How Minority Students Experience College: Implications for Planning and Policy (by LKemuel Watson, Melvin Terrell, Doris Wright, Fred Bonner II, Michael Cuyjet, James Gold, Donna Rudy and Dawn Person), reviewed by Joshua Canada Excerpts from Breathe: Finding Freedom to Thrive in Relationships after Childhood Sexual Abuse, Nicole Braddock Bromley ReflectionsMy Journey into Student Affairs, Kim Stave FeaturesThe President\u27s Corner Editor\u27s Deskhttps://pillars.taylor.edu/acsd_koinonia/1079/thumbnail.jp

Genomic, Pathway Network, and Immunologic Features Distinguishing Squamous Carcinomas

This integrated, multiplatform PanCancer Atlas study co-mapped and identified distinguishing molecular features of squamous cell carcinomas (SCCs) from five sites associated with smokin

Joint practice guidelines for radionuclide lymphoscintigraphy for sentinel node localization in oral/oropharyngeal squamous cell carcinoma

Involvement of the cervical lymph nodes is the most important prognostic factor for patients with oral/oropharyngeal squamous cell carcinoma (OSCC), and the decision whether to electively treat patients with clinically negative necks remains a controversial topic. Sentinel node biopsy (SNB) provides a minimally invasive method of determining the disease status of the cervical node basin, without the need for a formal neck dissection. This technique potentially improves the accuracy of histological nodal staging and avoids over-treating three-quarters of this patient population, minimizing associated morbidity. The technique has been validated for patients with OSCC, and larger-scale studies are in progress to determine its exact role in the management of this patient population. This article was designed to outline the current best practice guidelines for the provision of SNB in patients with early-stage OSCC, and to provide a framework for the currently evolving recommendations for its use. These guidelines were prepared by a multidisciplinary surgical/nuclear medicine/pathology expert panel under the joint auspices of the European Association of Nuclear Medicine (EANM) Oncology Committee and the Sentinel European Node Trial Committee

Clinical Sequencing Exploratory Research Consortium: Accelerating Evidence-Based Practice of Genomic Medicine

Despite rapid technical progress and demonstrable effectiveness for some types of diagnosis and therapy, much remains to be learned about clinical genome and exome sequencing (CGES) and its role within the practice of medicine. The Clinical Sequencing Exploratory Research (CSER) consortium includes 18 extramural research projects, one National Human Genome Research Institute (NHGRI) intramural project, and a coordinating center funded by the NHGRI and National Cancer Institute. The consortium is exploring analytic and clinical validity and utility, as well as the ethical, legal, and social implications of sequencing via multidisciplinary approaches; it has thus far recruited 5,577 participants across a spectrum of symptomatic and healthy children and adults by utilizing both germline and cancer sequencing. The CSER consortium is analyzing data and creating publically available procedures and tools related to participant preferences and consent, variant classification, disclosure and management of primary and secondary findings, health outcomes, and integration with electronic health records. Future research directions will refine measures of clinical utility of CGES in both germline and somatic testing, evaluate the use of CGES for screening in healthy individuals, explore the penetrance of pathogenic variants through extensive phenotyping, reduce discordances in public databases of genes and variants, examine social and ethnic disparities in the provision of genomics services, explore regulatory issues, and estimate the value and downstream costs of sequencing. The CSER consortium has established a shared community of research sites by using diverse approaches to pursue the evidence-based development of best practices in genomic medicine

The National Early Warning Score and its subcomponents recorded within ±24 hours of emergency medical admission are poor predictors of hospital-acquired acute kidney injury

YesBackground: Hospital-acquired Acute Kidney Injury (H-AKI) is a common cause of avoidable morbidity and mortality. Aim: To determine if the patients’ vital signs data as defined by a National Early Warning Score (NEWS), can predict H-AKI following emergency admission to hospital. Methods: Analyses of emergency admissions to York hospital over 24-months with NEWS data. We report the area under the curve (AUC) for logistic regression models that used the index NEWS (model A0), plus age and sex (A1), plus subcomponents of NEWS (A2) and two-way interactions (A3). Likewise for maximum NEWS (models B0,B1,B2,B3). Results: 4.05% (1361/33608) of emergency admissions had H-AKI. Models using the index NEWS had the lower AUCs (0.59 to 0.68) than models using the maximum NEWS AUCs (0.75 to 0.77). The maximum NEWS model (B3) was more sensitivity than the index NEWS model (A0) (67.60% vs 19.84%) but identified twice as many cases as being at risk of H-AKI (9581 vs 4099) at a NEWS of 5. Conclusions: The index NEWS is a poor predictor of H-AKI. The maximum NEWS is a better predictor but seems unfeasible because it is only knowable in retrospect and is associated with a substantial increase in workload albeit with improved sensitivity.The Health Foundatio

Multiplatform Analysis of 12 Cancer Types Reveals Molecular Classification within and across Tissues of Origin

Recent genomic analyses of pathologically-defined tumor types identify “within-a-tissue” disease subtypes. However, the extent to which genomic signatures are shared across tissues is still unclear. We performed an integrative analysis using five genome-wide platforms and one proteomic platform on 3,527 specimens from 12 cancer types, revealing a unified classification into 11 major subtypes. Five subtypes were nearly identical to their tissue-of-origin counterparts, but several distinct cancer types were found to converge into common subtypes. Lung squamous, head & neck, and a subset of bladder cancers coalesced into one subtype typified by TP53 alterations, TP63 amplifications, and high expression of immune and proliferation pathway genes. Of note, bladder cancers split into three pan-cancer subtypes. The multi-platform classification, while correlated with tissue-of-origin, provides independent information for predicting clinical outcomes. All datasets are available for data-mining from a unified resource to support further biological discoveries and insights into novel therapeutic strategies

Mercy, Not Sacrifice: College Student Spirituality and Social Concern and Action

Recently, scholars and practitioners are increasingly promoting a reexamination of the role of spirituality in the college environment (Astin, 2004; Kuh & Gonyea, 2006; Lindholm & Astin, 2007). Since spirituality has often been associated with service and a variety of other humanitarian motivations, multiple higher education theorists have speculated on the relationship between the two learning outcomes. However, influential higher education researchers have noted the dearth of research on spirituality in higher education in general (Astin, Astin, & Lindholm, n.d.), and heretofore investigators have barely examined the connection between spirituality and manifestations of social action. In this study I examined the relationship between Spirituality and Social Concern and Action through a data set of 3,462 respondents surveyed by UCLA’s Higher Education Research Institute (HERI). I found Spirituality correlated significantly to all measurements of Social Concern and Action. I also analyzed the impact of Institutional Type on the relationship between Spirituality and Social Concern and Action. In a Multiple Analysis of Variance, I found students at institutions designated as “religious” scored significantly lower than their peers at “public” and “private” institutions in regards to Compassionate Self-Concept. In contrast, I found “public” institutions scored significantly lower than their peers at “private” and “religious” institutions on measures of Charitable Involvement and Ethic of Caring. These findings are an indication of a close link between Spirituality, Social Concern and Action, and Institutional Type