Teaching Legacies of the Carlisle Indian School

The horrifying news of the discovery of hundreds of graves of children at Native American boarding schools in Canada has a contemporary companion: the tears of Latinx kids on the border in the summer of 2018 (Kelly 2018). You may recognize these voices as those of the immigrant children who were separated from their parents upon crossing the US/Mexico border in the summer of 2018. I’d like you to juxtapose them with any of the thousands of Native American children separated from their parents and forced to attend US-run boarding schools in the nineteenth and twentieth centuries. A different time and different languages, indeed. But the emotion is likely the same: the fear and desperation of dark-skinned children forced to live in the crossroads of US colonization. To highlight this connection I share my experiences teaching a class on boarding schools, which I believe is one effective response to today’s encounters with colonialism. Although I have always included some boarding school material in my Native American Literature survey class at West Virginia University, in the fall of 2019 I had the opportunity to design a one-credit Native American class entitled “Carlisle Indian School Legacies.” As a one-credit course focused on the experience of visiting Carlisle, it was less involved than a normal three-credit class. Therefore I share here some of the literature and assignments I plan to use when teaching a larger version of this course

Cancer Surveillance for High-Risk Squamous Cell Carcinoma of the Lip at the UVMMC Division of Dermatology

Skin cancers are an incredibly common malignancy in the United States. A direct relationship between lifetime ultraviolet radiation and subsequent development of skin cancers has been established. Of these, non-melanoma skin cancers, including squamous cell carcinoma and basal cell carcinoma, are the most common. Cutaneous squamous cell carcinomas (cSCCs) located on the lip are concerning given their increased risk of recurrence and metastasis. Given this increased risk of morbidity and mortality, it is essential to continue to monitor patients with a history of these high-risk skin cancers with at least annual full-body skin exams. This study identified approximately 25% of patients without any follow-up for a skin check. This list was then securely provided to office staff to prioritize contacting these patients for follow-up

Seeing red: anger, sentimentality, and American Indians

(print) xiv, 177 p. : ill. ; 24 cmIntroduction : anger, sentimentality, and American Indians -- Playing angry : S. Alice Callahan's Wynema -- "A woman to let alone" : E. Pauline Johnson and the performance of anger -- Lost (and gained) in translation : language, anger, and agency in Sarah Winnemucca Hopkins's Life among the Piutes -- Conclusion : an anger of their ownItem embargoed for five year

Attitudes & Roles Regarding Firearm Access and Suicide Prevention in Vermont Middle & High Schools

Adolescent suicide is a serious public health concern in Vermont, and the presence of firearms in the home is a known risk factor. Suicide attempts with firearms are more likely to be completed than attempts with other means, with an 85% mortality rate of suicide with firearms compared to 5% with other means. This project aimed to assess attitudes, comfort, and perceived roles among school personnel in addressing gun safety and access to firearms with Vermont students and parents.https://scholarworks.uvm.edu/comphp_gallery/1298/thumbnail.jp

A Delphi Consensus to Identify Perioperative Antibiotic Prescribing Best Practices in Mohs Surgery

Abstract: Surgical site infections (SSI) make a significant global contribution to morbidity, mortality, and cost while remaining one of the most preventable causes of healthcare-associated infection. Perioperative antibiotics are a mainstay of prevention, but antibiotics are also associated with cost, risk, and increasing resistance. Dermatology is responsible for more oral antibiotic prescriptions than any other discipline. Despite a trend toward conservative prescribing practices and antibiotic stewardship in dermatology overall, antibiotic prescriptions in dermatologic surgery continue to increase, with a notable rise in short-term perioperative prescribing. There is currently a lack of evidence-based perioperative antibiotic prescribing guidelines within the dermatology literature. Evidence supports the need for specific, up-to-date recommendations regarding antibiotic management in the setting of dermatologic surgery. This QI project aims to review and synthesize current recommendations in the literature and identify best practices for developing standardized, appropriate use criteria for perioperative use of antibiotics in dermatologic surgery

Oral Health and Barriers to Care in Burlington Housing Authority Residents

Background Oral health affects everyone and serves as a model for the long term benefits of establishing preventative health practices early in life. However, children with significant socioeconomic stress or cultural and language barriers to access may have difficulty obtaining oral hygiene information, or developing and maintaining oral health regimens. The Burlington Housing Authority (BHA) provides housing subsidization to low-income families and services many resettled refugee families in Burlington, VT. We recognize some intervention initiatives are already and place, and will evaluate program efficacy and utilization. Ultimately, we seek to understand barriers to the existing programs and recommend strategies to increase utilization, compliance, and education in our target population.https://scholarworks.uvm.edu/comphp_gallery/1273/thumbnail.jp

Implementing goals of care conversations with veterans in VA long-term care setting: a mixed methods protocol

Abstract Background The program “Implementing Goals of Care Conversations with Veterans in VA LTC Settings” is proposed in partnership with the US Veterans Health Administration (VA) National Center for Ethics in Health Care and the Geriatrics and Extended Care Program Offices, together with the VA Office of Nursing Services. The three projects in this program are designed to support a new system-wide mandate requiring providers to conduct and systematically record conversations with veterans about their preferences for care, particularly life-sustaining treatments. These treatments include cardiac resuscitation, mechanical ventilation, and other forms of life support. However, veteran preferences for care go beyond whether or not they receive life-sustaining treatments to include issues such as whether or not they want to be hospitalized if they are acutely ill, and what kinds of comfort care they would like to receive. Methods Three projects, all focused on improving the provision of veteran-centered care, are proposed. The projects will be conducted in Community Living Centers (VA-owned nursing homes) and VA Home-Based Primary Care programs in five regional networks in the Veterans Health Administration. In all the projects, we will use data from context and barrier and facilitator assessments to design feedback reports for staff to help them understand how well they are meeting the requirement to have conversations with veterans about their preferences and to document them appropriately. We will also use learning collaboratives—meetings in which staff teams come together and problem-solve issues they encounter in how to get veterans’ preferences expressed and documented, and acted on—to support action planning to improve performance. Discussion We will use data over time to track implementation success, measured as the proportions of veterans in Community Living Centers (CLCs) and Home-Based Primary Care (HBPC) who have a documented goals of care conversation soon after admission. We will work with our operational partners to spread approaches that work throughout the Veterans Health Administration.http://deepblue.lib.umich.edu/bitstream/2027.42/134645/1/13012_2016_Article_497.pd

Correction to: Implementing goals of care conversations with veterans in VA long-term care setting: a mixed methods protocol

Correction The authors would like to correct errors in the original article [1] that may have lead readers to misinterpret the scope, evidence base and target population of VHA Handbook 1004.03 “Life-Sustaining Treatment (LST) Decisions: Eliciting, Documenting, and Honoring Patients’ Values, Goals, and Preferences”.https://deepblue.lib.umich.edu/bitstream/2027.42/142349/1/13012_2018_Article_724.pd