Alumni Become a Force in Native American Law

The national profile of U-M alumni is becoming more prominent at the same time that activities at the Law School also are increasingly visible, with an active chapter of the Native American Law Students Association (NALSA); the hosting of American Indian Law Day, when the Navajo Supreme Court heard oral arguments at U-M; and the election of 3L Josh Clause as president of the National NALSA

“Breaking” the Emergency Department: Does the Culture of Emergency Medicine Present a Barrier to Self-Care?

Introduction: Our goal was to critically examine emergency physician’s (EP) beliefs about taking breaks for self-care on shift. Our operational definition of a break for self-care included time not engaging in direct patient care, eating, drinking, using the bathroom, or leaving a clinical area for a mental break. Using focus groups, the study aimed to accomplish the following: 1) identify barriers to why residents and faculty at our academic center may not take breaks in the emergency department; 2) generate hypotheses for empirical testing; and 3) generate solutions to include in a departmental breaks initiative.Methods: We convened eight focus groups comprised separately of resident and faculty physicians. Group discussion was guided by eight questions representing a priori themes. The groups were recorded for transcription and subjected to a “cut-and-sort” process. Six themes were identified by consensus after independent review by three of the co-authors, which were confirmed by participant validation.Results: We identified six themes that represented the pooled outcomes of both resident and faculty focus groups: 1) Physiological needs affect clinical performance, 2) EPs share beliefs around taking breaks that center on productivity, patient safety and the dichotomy of strength/weakness, 3) when taking breaks EPs fear worst-case scenarios, 4) breaking is a learned skill, 5) culture change is needed to allow EPs to engage in self-care; and 6) a flexible, individualized approach to breaking is necessary. Our central finding was that productivity and patient safety are of key importance to EPs when considering whether to take a break for self-care. We identified a dichotomy with the concept of strength related to productivity/patient safety, and the concept of weakness related to self-care.Conclusion: The current practice culture of emergency medicine and the organization of our unique work environment may present barriers to physicians attempting to engage in self-care

Guns on Campus?

Colleges emerge as latest battleground in fray over concealed weapons. These snapshots of changes and potential alterations to campus gun laws around the country illustrate a growing battle between those who think that allowing concealed weapons at colleges and universities would make students feel more secure, versus those who believe it would diminish student safety

Social deficits, stereotypy and early emergence of repetitive behavior in the C58/J inbred mouse strain

Mouse lines with behavioral phenotypes relevant to symptoms in neurodevelopmental disorders may provide models to test hypotheses about disease etiology and to evaluate potential treatments. The present studies were designed to confirm and expand earlier work on the intriguing behavioral profile of the C58/J inbred strain, including low social approach and aberrant repetitive movements. Additional tests were selected to reflect aspects of autism, a severe neurodevelopmental disorder characterized by emergence of symptoms early in life, higher prevalence in males, social deficits and abnormal repetitive behavior. Mice from the C57BL/6J inbred strain, which has a similar genetic lineage and physical appearance to C58/J, served as a comparison group. Our results revealed that C58/J mice display elevated activity levels by postnatal day 6, which persist into adulthood. Despite normal olfactory ability, young adult male C58/J mice showed deficits in social approach in the three-chambered choice assay and failed to demonstrate social transmission of food preference. In contrast, female C58/J mice performed similarly to female C57BL/6J mice in both social tests. C58/J mice of both sexes demonstrated abnormal repetitive behaviors, displaying excessive jumping and back flipping in both social and non-social situations. These stereotypies were clearly evident in C58/J pups by postnatal days 20–21, and were also observed in C58/J dams during a test for maternal behavior. Overall, the strain profile for C58/J, including spontaneously developing motor stereotypies emerging early in the developmental trajectory, and social deficits primarily in males, models multiple components of the autism phenotype

Treatment at the front end of the criminal justice continuum: the association between arrest and admission into specialty substance abuse treatment

BACKGROUND: To reduce criminal recidivism and drug use, it has been proposed that the substance abuse treatment delivery system cut across different components of the criminal justice continuum. Arrest, at the front end of this continuum, may represent a critical moment to motivate people with substance use disorders (SUD) to seek treatment but is often over looked as an intervention point. We used data from the 2002 National Survey on Drug Use and Health (NSDUH) to compare treatment need and recent treatment admission for participants with no criminal justice (CJ) involvement in the past year, past-year arrest, and CJ supervision (i.e., probation or parole status). RESULTS: Of those arrested, 44.8% met criteria for an SUD. However, only 14% of those arrested with an SUD received treatment in the year of their arrest. In multivariate modelling, arrest was an independent predictor of treatment admission (odds ratio (OR) = 8.74) similar in magnitude to meeting criteria for an SUD (OR = 8.22). Those further along the continuum – under supervision – were most likely to receive treatment (OR = 22.62). CONCLUSION: Arrest involves the largest number of individuals entering the criminal justice system. The NSDUH suggests that nearly 6 million individuals in the US experience an arrest annually and that nearly half meet criteria for an SUD. Although arrest involves the largest number of individuals entering the criminal justice system, it is also the most fleeting point as individuals can move in and out rather quickly. Minimally, arrest imposes contact between the individual and a law enforcement person and can be an opportunity for early intervention strategies such as pre-arraignment diversion into treatment or brief intervention strategies. Using brief intervention at this early point in the continuum may motivate a greater number of individuals to seek treatment or decrease drug and alcohol use. Training and procedural shifts at this point of contact could have important policy implications in reducing the number of subsequent arrests or preventing individuals moving further along the criminal justice continuum, as well as decreasing the fiscal and resource burdens associated with criminal justice processing and confinement

Ariel - Volume 6 Number 4

Editors Mark Dembert J.D. Kanofsky Frank Chervenak John Lammie Curt Cummings Entertainment Robert Breckenridge Joe Conti Gary Kaskey Photographer Larry Glazerman Overseas Editor Mike Sinason Humorist Jim McCann Staff Ken Jaffe Bob Sklaroff Halley Faust Jim Burk

Lunar Daytime: Behavioral Experiments in a Space Analog Living and Working Environment

The Lunar Daytime concept addresses the challenge to behavioral scientists and architectural researchers in conducting research in space habitats or habitat analogs to produce scientifically valid results. Historically, researchers were limited to largely qualitative surveys. Instead, the Lunar Daytime (LDT) team will demonstrate the efficacy of a modifiable environmental habitat analog laboratory capable of producing empirical, measurable, and quantitative data sets. To measure effects on crew performance and crew behavioral responses as a dependent variable, researchers must be able to make and control changes in the physical living and working environment as an independent variable. Lunar Daytime refers to modeling an early human-tended lunar base. Because this surface mission depends on solar energy for power, which is available only during the lunar day, the time limit to the simulation is 14 days, but may run shorter. This LDT context provides the mission scenario to conduct these comparatively short-duration habitat analog studies. A benefit of two-week long simulations is that it becomes possible to conduct multiple test runs within the same time and budget that a much longer (i.e. Mars mission) scenario would require. The LDT team has conducted extensive studies of space vehicle and habitat design, done research in various analog habitats (e.g., MDRS, HERA, HI-SEAS, Concordia), and reviewed all existing space habitat analog facilities. Unfortunately, none of the current facilities allow for the degree of modification necessary to experimentally address the critical issues surrounding creation of the optimally built habitat. Major Objectives: 1) Create a space habitat analog research facility, specifically designed to accommodate desired modifications in the physical and perceptual living and working environment, and 2) Demonstrate the ability of such an environmental behavioral laboratory to simulate, investigate, and address critical factors that play important roles in human health and well-being in Isolated and confined environments (ICEs)