Working with disaster: clergy and bushfires

Based on interviews with eleven clergy from seven denominations, Dr Lisa Jacobson in this research examines their role during the Black Saturday bushfire emergency of 2009 and the impact on them personally. She makes many recommendations about how church and comunity groups, with government and other agencies, need to prepare both the training for people to handle such trauma and to coordinate closely with each other in the emergency. Some of the clergy had received little or no training for such trauma and all were exposed to high levels of stress and even burnout. The research included debriefing workshops for clergy and laity about emergency services training and opportunities for conversation and prayer about the spiritual integration of what they had been through. The report recommended that training for clergy and pastoral workers include trauma training for emergency situations, and greater ecumenical collaboration in preparing for trauma and in post-trauma recover. The report also recommended that the VCC Emergency Ministries provide a state-wide ecumenical focus on long-term pastoral care, involving preparing local communities to respond to emergencies, recognising that the effects of such disasters are quite prolonged and require extra support from specialised services, including suitable religious rituals and healing for hearts and minds

Extreme Library Website Makover: Drupal Edition

POSTER SESSION PROGRAM Winsted Public Library in rural Minnesota has a very basic website that offers little to its community. Three library science graduate students with no prior knowledge about Drupal were given a fresh Drupal install and a month to give the site a complete overhaul. Could they pull it off? Yes they could! This poster session will present how they did it and what they learned. See the project at http://dev.tametheweb.com

R^2 Corrections for 5D Black Holes and Rings

We study higher-order corrections to two BPS solutions of 5D supergravity, namely the supersymmetric black ring and the spinning black hole. Due in part to our current relatively limited understanding of F-type terms in 5D supergravity, the nature of these corrections is less clear than that of their 4D cousins. Effects of certain $R^2$ terms found in Calabi-Yau compactification of M-theory are specifically considered. For the case of the black ring, for which the microscopic origin of the entropy is generally known, the corresponding higher order macroscopic correction to the entropy is found to match a microscopic correction, while for the spinning black hole the corrections are partially matched to those of a 4D $D0-D2-D6$ black hole.Comment: 9 page

The High Cost of Opioid Use in Pregnancy

Background: Numerous investigators have highlighted the need to integrate opioid use disorder (OUD) treatment with maternity care. Since data first became available in 2014, Montgomery County (Ohio) has experienced the highest rates of OUD and unintended opioid overdose deaths in the state. This paper examines the demographics and costs of medical treatment for pregnant women with OUD and their newborns with prenatal exposure to opioids (PEO). Methods: The study involved a retrospective records review of all newborns born between May 1, 2016, and April 30, 2017, at a large, urban medical center. Newborns with PEO were matched with a control group by mother's type of insurance, race/ethnicity, method of birth, and maternal parity. Results: Establishing which of the pregnant women should be diagnosed with OUD and be included in the study group was inordinately challenging. Ultimately, of the 3841 infants birthed during the study period, 131 (3.4%) were iden-tified as being born to mothers with OUD. Significantly more mothers with OUD were White and on Medicaid. Only 25 (19.2%) mothers with OUD engaged in treatment for substance use. Compared to the control group, newborns with PEO were much more likely (71.4% versus 25.4%) to be admitted to the NICU and had much longer lengths of stay in both the NICU (mean of 14.4 versus 4.1 days) and hospital (16.9 versus 5.8 days), resulting in dramatic increases in health care cost. Conclusion: These data underscore the need for a comprehensive, systematic approach to OUD and PEO and affirm the government as a major stakeholder in the care of infants born to these women

Anatomic Fat Depots and Coronary Plaque Among Human Immunodeficiency Virus-Infected and Uninfected Men in the Multicenter AIDS Cohort Study.

Methods.  In a cross-sectional substudy of the Multicenter AIDS Cohort Study, noncontrast cardiac computed tomography (CT) scanning for coronary artery calcium (CAC) scoring was performed on all men, and, for men with normal renal function, coronary CT angiography (CTA) was performed. Associations between fat depots (visceral adipose tissue [VAT], abdominal subcutaneous adipose tissue [aSAT], and thigh subcutaneous adipose tissue [tSAT]) with coronary plaque presence and extent were assessed with logistic and linear regression adjusted for age, race, cardiovascular disease (CVD) risk factors, body mass index (BMI), and human immunodeficiency virus (HIV) parameters. Results.  Among HIV-infected men (n = 597) but not HIV-uninfected men (n = 343), having greater VAT was positively associated with noncalcified plaque presence (odds ratio [OR] = 1.04, P < .05), with a significant interaction (P < .05) by HIV serostatus. Human immunodeficiency virus-infected men had lower median aSAT and tSAT and greater median VAT among men with BMI <25 and 25-29.9 kg/m(2). Among HIV-infected men, VAT was positively associated with presence of coronary plaque on CTA after adjustment for CVD risk factors (OR = 1.04, P < .05), but not after additional adjustment for BMI. There was an inverse association between aSAT and extent of total plaque among HIV-infected men, but not among HIV-uninfected men. Lower tSAT was associated with greater CAC and total plaque score extent regardless of HIV serostatus. Conclusions.  The presence of greater amounts of VAT and lower SAT may contribute to increased risk for coronary artery disease among HIV-infected persons

Sonography of the Lateral Antebrachial Cutaneous Nerve With Magnetic Resonance Imaging and Anatomic Correlation

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135544/1/jum20143381475.pd