Fostering Empathy in Communication Sciences and Disorders Through Interprofessional Simulation: Bridging the Gap Between Lecture and Practice

This exploratory study sought to understand the experiences of CSD students participating in an interprofessional simulation focused on empathy development and how it could inform their future practice. This study used a non-random, purposive sample of 29 CSD students from one United States university who attended one of three Team STEPPS seminar training days that were offered during three separate semesters. Post-seminar surveys were completed, and conventional content analysis used to analyze data. Three primary themes, and corresponding subthemes emerged: (a) establish trust (build rapport; identify patient care goals; and encourage active participation; (b) facilitate collaborative plan of care (provide education; interprofessional communication; patient-centered care; boost morale; and put self in patient’s shoes); and (c) navigate challenging conversations (disagreement between patient and family; grief with terminal diagnosis; and end-of-life conversations). Students also shared both their current and plans for future learning on empathy. Implications relating to interprofessional and CSD education are discussed and posited

Comparison of fatty acids and elemental nutrients in periphyton, invertebrates, and cutthroat trout (Oncorhyncus clarki) in conifer and alder streams of western Washington state

This is the portpriint version of the article. The original publication is available at www.springerlink.comOrganism growth and reproduction are often limited by nutrient availability in freshwater ecosystems where, in some cases, food webs are primarily supported by allochthonous organic matter. Therefore, we hypothesized that the composition of riparian vegetation would influence the variability of N, P and fatty acid content of in-stream consumers. Specifically, we predicted that organisms living in alder streams would have higher levels of N, P, and polyunsaturated fatty acids than organisms in coniferous streams. To determine this, we sampled fresh and aged leaf litter, periphyton, invertebrates, and cutthroat trout (Oncorhynchus clarki) from 6 streams in western Washington state: 3 streams had high densities of nitrogen-fixing red alder (Alnus rubra) in the riparian zone, whereas 3 had high densities of conifers. We found fresh alder litter had twice the total polyunsaturated fatty acid concentrations of hemlock vegetation while there were few statistical differences among aged alder and aged hemlock vegetation. Multidimensional plots showed fatty acid profiles were unique to vegetation and fish while periphyton and invertebrates shared the same multidimensional space. We used a mixed model to determine the relative importance of vegetation type (fixed factor: conifer or alder), trophic levels (fixed factor: periphyton, primary consumer, or fish) and streams (random factor) on individual fatty acid concentrations. Total polyunsaturated fatty acids, 16:0, 20:1, 20:3n6 and total n3 were the only fatty acids influenced by stream vegetation (vegetation + stream model or full model. 67% of the fatty acids were best supported by the trophic +stream model. Nitrogen, P, Ca, Fe, C:N, N:P and C:N:P were all best supported by the trophic level + stream model and Zn was the only nutrient supported best by the full model. Correlations of n3 and n6 fatty acid concentrations between periphyton and primary consumers, and primary consumers with trout indicated several fatty acid metrics, such as n3:n6, showed food resources may affect relative fatty acid abundances of consumers. Although vegetation type did not influence relative fatty acids of stream organisms, the importance of trophic level likely indicates organisms have different physical requirements for fatty acids. The significance of a random factor, ‘stream,’ suggests that the relative abundances of fatty acids in periphyton, invertebrates and trout are more related than similar organisms from another stream

Mapping Valley Bottom Confinement at the Network Scale

In this article, we demonstrate the application of a continuous confinement metric across entire river networks. Confinement is a useful metric for characterizing and discriminating valley setting. At the reach scale, valley bottom confinement is measured and quantified as the ratio of the length of channel confined on either bank by a confining margin divided by the reach length. The valley bottom is occupied by the contemporary floodplain and/or its channel(s); confining margins can be any landform or feature that makes up the valley bottom margin, such as bedrock hillslopes, terraces, fans, or anthropogenic features such as stopbanks or constructed levees. To test the reliability of calculating confinement across entire networks, we applied our geoprocessing scripts across four physiographically distinct watersheds of the Pacific Northwest, USA using freely available national datasets. Comparison of manually digitized and mapped with modeled calculations of confinement revealed that roughly one‐third of reaches were equivalent and about two‐thirds of the sites differ by less than ±15%. A sensitivity analysis found that a 500 m reach segmentation length produced reasonable agreement with manual, categorical, expert‐derived analysis of confinement. Confinement accuracy can be improved (c. 4% to 17% gains) using a more accurately mapped valley bottom and channel position (i.e. with higher‐resolution model inputs). This is particularly important when differentiating rivers in the partly confined valley setting. However, at the watershed scale, patterns derived from mapping confinement are not fundamentally different, making this a reasonably accurate and rapid technique for analysis and measurement of confinement across broad spatial extents

Taxonomic revision of true morels (Morchella) in Canada and the United States

Recent molecular phylogenetic studies have revealed the existence of at least 50 species of Morchella worldwide and demonstrated a high degree of continental endemism within the genus. Here we describe 19 phylogenetic species of Morchella from North America, 14 of which are new (M. diminutiva, M. virginiana, M. esculentoides, M. prava, M. cryptica, M. frustrata, M. populiphila, M. sextelata, M. septimelata, M. capitata, M. importuna, M. snyderi, M. brunnea and M. septentrionalis). Existing species names (M. rufobrunnea, M. tomentosa, M. punctipes and M. angusticeps) are applied to four phylogenetic species, and formal description of one species (M. sp. Mel-8 ) is deferred pending study of additional material. Methods for assessing morphological features in Morchella are delineated, and a key to the known phylogenetic species of Morchella in North America is provided. Type studies of M. crassistipa, M. hotsonii, M. angusticeps and M. punctipes are provided. Morchella crassistipa is designated nomen dubium

Taxonomic revision of true morels (Morchella) in Canada and the United States

Recent molecular phylogenetic studies have revealed the existence of at least 50 species of Morchella worldwide and demonstrated a high degree of continental endemism within the genus. Here we describe 19 phylogenetic species of Morchella from North America, 14 of which are new (M. diminutiva, M. virginiana, M. esculentoides, M. prava, M. cryptica, M. frustrata, M. populiphila, M. sextelata, M. septimelata, M. capitata, M. importuna, M. snyderi, M. brunnea and M. septentrionalis). Existing species names (M. rufobrunnea, M. tomentosa, M. punctipes and M. angusticeps) are applied to four phylogenetic species, and formal description of one species (M. sp. Mel-8 ) is deferred pending study of additional material. Methods for assessing morphological features in Morchella are delineated, and a key to the known phylogenetic species of Morchella in North America is provided. Type studies of M. crassistipa, M. hotsonii, M. angusticeps and M. punctipes are provided. Morchella crassistipa is designated nomen dubium

Palladin Mutation Causes Familial Pancreatic Cancer and Suggests a New Cancer Mechanism

BACKGROUND: Pancreatic cancer is a deadly disease. Discovery of the mutated genes that cause the inherited form(s) of the disease may shed light on the mechanism(s) of oncogenesis. Previously we isolated a susceptibility locus for familial pancreatic cancer to chromosome location 4q32–34. In this study, our goal was to discover the identity of the familial pancreatic cancer gene on 4q32 and determine the function of that gene. METHODS AND FINDINGS: A customized microarray of the candidate chromosomal region affecting pancreatic cancer susceptibility revealed the greatest expression change in palladin (PALLD), a gene that encodes a component of the cytoskeleton that controls cell shape and motility. A mutation causing a proline (hydrophobic) to serine (hydrophilic) amino acid change (P239S) in a highly conserved region tracked with all affected family members and was absent in the non-affected members. The mutational change is not a known single nucleotide polymorphism. Palladin RNA, measured by quantitative RT-PCR, was overexpressed in the tissues from precancerous dysplasia and pancreatic adenocarcinoma in both familial and sporadic disease. Transfection of wild-type and P239S mutant palladin gene constructs into HeLa cells revealed a clear phenotypic effect: cells expressing P239S palladin exhibited cytoskeletal changes, abnormal actin bundle assembly, and an increased ability to migrate. CONCLUSIONS: These observations suggest that the presence of an abnormal palladin gene in familial pancreatic cancer and the overexpression of palladin protein in sporadic pancreatic cancer cause cytoskeletal changes in pancreatic cancer and may be responsible for or contribute to the tumor's strong invasive and migratory abilities

C9ORF72 repeat expansion in Australian and Spanish frontotemporal dementia patients

A hexanucleotide repeat expansion in C9ORF72 has been established as a common cause of frontotemporal dementia (FTD). However, the minimum repeat number necessary for disease pathogenesis is not known. The aims of our study were to determine the frequency of the C9ORF72 repeat expansion in two FTD patient collections (one Australian and one Spanish, combined n = 190), to examine C9ORF72 expansion allele length in a subset of FTD patients, and to examine C9ORF72 allele length in ‘non-expansion’ patients (those with <30 repeats). The C9ORF72 repeat expansion was detected in 5–17% of patients (21–41% of familial FTD patients). For one family, the expansion was present in the proband but absent in the mother, who was diagnosed with dementia at age 68. No association was found between C9ORF72 non-expanded allele length and age of onset and in the Spanish sample mean allele length was shorter in cases than in controls. Southern blotting analysis revealed that one of the nine ‘expansion-positive’ patients examined, who had neuropathologically confirmed frontotemporal lobar degeneration with TDP-43 pathology, harboured an ‘intermediate’ allele with a mean size of only ~65 repeats. Our study indicates that the C9ORF72 repeat expansion accounts for a significant proportion of Australian and Spanish FTD cases. However, C9ORF72 allele length does not influence the age at onset of ‘non-expansion’ FTD patients in the series examined. Expansion of the C9ORF72 allele to as little as ~65 repeats may be sufficient to cause disease.Carol Dobson-Stone, Marianne Hallupp, Clement T. Loy, Elizabeth M. Thompson, Eric Haan, Carolyn M. Sue, Peter K. Panegyres, Cristina Razquin, Manuel Seijo-Martínez, Ramon Rene, Jordi Gascon, Jaume Campdelacreu, Birgit Schmoll, Alexander E. Volk, William S. Brooks, Peter R. Schofield, Pau Pastor, John B. J. Kwo

2016 United Kingdom national guideline on the sexual health care of men who have sex with men.

This guideline is intended for use in UK Genitourinary medicine clinics and sexual health services but is likely to be of relevance in all sexual health settings, including general practice and Contraception and Sexual Health (CASH) services, where men who have sex with men (MSM) seek sexual health care or where addressing the sexual health needs of MSM may have public health benefits. For the purposes of this document, MSM includes all gay, bisexual and all other males who have sex with other males and both cis and trans men. This document does not provide guidance on the treatment of particular conditions where this is covered in other British Association for Sexual Health and HIV (BASHH) Guidelines but outlines best practice in multiple aspects of the sexual health care of MSM. Where prevention of sexually transmitted infections including HIV can be addressed as an integral part of clinical care, this is consistent with the concept of combination prevention and is included. The document is designed primarily to provide guidance on the direct clinical care of MSM but also makes reference to the design and delivery of services with the aim of supporting clinicians and commissioners in providing effective services. Methodology This document was produced in accordance with the guidance set out in the BASHH CEG's document 'Framework for guideline development and assessment' published in 2010 at http://www.bashh.org/guidelines and with reference to the Agree II instrument. Following the production of the updated framework in April 2015, the GRADE system for assessing evidence was adopted and the draft recommendations were regraded. Search strategy (see also Appendix 1) Ovid Medline 1946 to December 2014, Medline daily update, Embase 1974 to December 2014, Pubmed NeLH Guidelines Database, Cochrane library from 2000 to December 2014. Search language English only. The search for Section 3 was conducted on PubMed to December 2014. Priority was given to peer-reviewed papers published in scientific journals, although for many issues evidence includes conference abstracts listed on the Embase database. In addition, for 'Identification of problematic recreational drug and alcohol use' section and 'Sexual problems and dysfunctions in MSM' section, searches included PsycINFO. Methods Article titles and abstracts were reviewed and if relevant the full text article was obtained. Priority was given to randomised controlled trial and systematic review evidence, and recommendations made and graded on the basis of best available evidence. Piloting and feedback The first draft of the guideline was circulated to the writing group and to a small group of relevant experts, third sector partners and patient representatives who were invited to comment on the whole document and specifically on particular sections. The revised draft was reviewed by the CEG and then reviewed by the BASHH patient/public panel and posted on the BASHH website for public consultation. The final draft was piloted before publication. Guideline update The guidelines will be reviewed and revised in five years' time, 2022

Headwater Streams and Red Alder

This fact sheet describes a study that investigated watershed coverage of alder and dissolved nitrate concentrations in streams. Management implications and the role of red alder in water chemistry and biota are discussed

Data, Data, and More Data: Managing and Making Sense of Data from Existing PNW Salmon and Habitat Monitoring Programs

Carol Volk will present an introduction to managing and understanding data. She will cover the following topics: 1. What is data? 2. Where is all the data? 3. What do we do with it? 4. Is it useful? As examples, she reviews two case studies: the Integrated Status and Effectiveness Monitoring Program (ISEMP) John Day water quality project, data dictionaries and the Pacific Northwest Salmon Habitat Restoration Project Tracking Database (http://webapps.nwfsc.noaa.gov/portal/page?_pageid=33,1&_dad=portal&_schema=PORTAL), and project coordination: restoration and project placement in Middle Fork John Day (MFJD) basin. 5. Should we do something with it? 6. Steps forward: making old and new data useful. Finally, she concludes with the following observations and recommendations: 1. The current methods of storing data are inefficient for regional analyses and conclusions. 2. Current datasets can be useful but take time. 3. Start small: organize once and analyze a thousand times.Volk Consulting