Portfolio Vol. VI N 1

Wyman, John. Mrs. Brannon\u27s Bathtub . Prose. 1. Holbrook, Harold R. Sonnet . Poem. 7. Hayne, Barbara. Prayer of A Youth . Poem. 7. Egger, Ellen. An Evening . Poem. 7. Cuninggim, Merrimon. Lambda Pi Beta Mu . Prose. 9. Willett, Thelma. White Rosebuds . Poem. 11. Willett, Thelma. Span of A Life in Mine . Poem. 11. Willett, Thelma. Seventeen . Poem. 11. Willett, Thelma. Ave Atque Vale . Poem. 11. Willett, Thelma. The Ashes of Letters . Poem. 11. Miller, Albert. ...To One I Have Known and Loved . Prose. 12. Wyman, John. Browning the Artist . Prose. 14. Brannon, Pat. Revolution . Poem. 18. Forsberg, Nancy. Unnamed. Poem. 18. Kearns, Carolyn. A Co-Ed\u27s Wish . Poem. 18. Goetz, Marilyn. Fate\u27s Fury . Prose. 19. Harvey, Richard. Man Who Ate the Cheesecake . Prose. 21. Spike, Robert. Mechanikos . Poem. 22. Stodghill, Patricia. Anodyne . Poem. 23. Ladd, Donald. Torch-Light . Poem. 23

Portfolio Vol. VI N 2

Wyman, John. Mrs. Brannon\u27s Bathtub . Prose. 1. Holbrook, Harold R. Sonnet . Poem. 7. Hayne, Barbara. Prayer of A Youth . Poem. 7. Egger, Ellen. An Evening . Poem. 7. Cuninggim, Merrimon. Lambda Pi Beta Mu . Prose. 9. Willett, Thelma. White Rosebuds . Poem. 11. Willett, Thelma. Span of A Life in Mine . Poem. 11. Willett, Thelma. Seventeen . Poem. 11. Willett, Thelma. Ave Atque Vale . Poem. 11. Willett, Thelma. The Ashes of Letters . Poem. 11. Miller, Albert. ...To One I Have Known and Loved . Prose. 12. Wyman, John. Browning the Artist . Prose. 14. Brannon, Pat. Revolution . Poem. 18. Forsberg, Nancy. Unnamed. Poem. 18. Kearns, Carolyn. A Co-Ed\u27s Wish . Poem. 18. Goetz, Marilyn. Fate\u27s Fury . Prose. 19. Harvey, Richard. Man Who Ate the Cheesecake . Prose. 21. Spike, Robert. Mechanikos . Poem. 22. Stodghill, Patricia. Anodyne . Poem. 23. Ladd, Donald. Torch-Light . Poem. 23

Cervical spondylosis with spinal cord encroachment: should preventive surgery be recommended?

<p>Abstract</p> <p>Background</p> <p>It has been stated that individuals who have spondylotic encroachment on the cervical spinal cord without myelopathy are at increased risk of spinal cord injury if they experience minor trauma. Preventive decompression surgery has been recommended for these individuals. The purpose of this paper is to provide the non-surgical spine specialist with information upon which to base advice to patients. The evidence behind claims of increased risk is investigated as well as the evidence regarding the risk of decompression surgery.</p> <p>Methods</p> <p>A literature search was conducted on the risk of spinal cord injury in individuals with asymptomatic cord encroachment and the risk and benefit of preventive decompression surgery.</p> <p>Results</p> <p>Three studies on the risk of spinal cord injury in this population met the inclusion criteria. All reported increased risk. However, none were prospective cohort studies or case-control studies, so the designs did not allow firm conclusions to be drawn. A number of studies and reviews of the risks and benefits of decompression surgery in patients with cervical myelopathy were found, but no studies were found that addressed surgery in asymptomatic individuals thought to be at risk. The complications of decompression surgery range from transient hoarseness to spinal cord injury, with rates ranging from 0.3% to 60%.</p> <p>Conclusion</p> <p>There is insufficient evidence that individuals with spondylotic spinal cord encroachment are at increased risk of spinal cord injury from minor trauma. Prospective cohort or case-control studies are needed to assess this risk. There is no evidence that prophylactic decompression surgery is helpful in this patient population. Decompression surgery appears to be helpful in patients with cervical myelopathy, but the significant risks may outweigh the unknown benefit in asymptomatic individuals. Thus, broad recommendations for decompression surgery in suspected at-risk individuals cannot be made. Recommendations to individual patients must consider possible unique circumstances.</p

Epigenome-wide association study of serum urate reveals insights into urate co-regulation and the SLC2A9 locus

Elevated serum urate levels, a complex trait and major risk factor for incident gout, are correlated with cardiometabolic traits via incompletely understood mechanisms. DNA methylation in whole blood captures genetic and environmental influences and is assessed in transethnic meta-analysis of epigenome-wide association studies (EWAS) of serum urate (discovery, n = 12,474, replication, n = 5522). The 100 replicated, epigenome-wide significant (p &lt; 1.1E–7) CpGs explain 11.6% of the serum urate variance. At SLC2A9, the serum urate locus with the largest effect in genome-wide association studies (GWAS), five CpGs are associated with SLC2A9 gene expression. Four CpGs at SLC2A9 have significant causal effects on serum urate levels and/or gout, and two of these partly mediate the effects of urate-associated GWAS variants. In other genes, including SLC7A11 and PHGDH, 17 urate-associated CpGs are associated with conditions defining metabolic syndrome, suggesting that these CpGs may represent a blood DNA methylation signature of cardiometabolic risk factors. This study demonstrates that EWAS can provide new insights into GWAS loci and the correlation of serum urate with other complex traits

Genomic Relationships, Novel Loci, and Pleiotropic Mechanisms across Eight Psychiatric Disorders

Genetic influences on psychiatric disorders transcend diagnostic boundaries, suggesting substantial pleiotropy of contributing loci. However, the nature and mechanisms of these pleiotropic effects remain unclear. We performed analyses of 232,964 cases and 494,162 controls from genome-wide studies of anorexia nervosa, attention-deficit/hyper-activity disorder, autism spectrum disorder, bipolar disorder, major depression, obsessive-compulsive disorder, schizophrenia, and Tourette syndrome. Genetic correlation analyses revealed a meaningful structure within the eight disorders, identifying three groups of inter-related disorders. Meta-analysis across these eight disorders detected 109 loci associated with at least two psychiatric disorders, including 23 loci with pleiotropic effects on four or more disorders and 11 loci with antagonistic effects on multiple disorders. The pleiotropic loci are located within genes that show heightened expression in the brain throughout the lifespan, beginning prenatally in the second trimester, and play prominent roles in neurodevelopmental processes. These findings have important implications for psychiatric nosology, drug development, and risk prediction.Peer reviewe

Utilising Reflective Practice Groups as pedagogy in ordination training and theological development

This is an Accepted Manuscript of an article published by Taylor & Francis in Practical Theology on 3-5-19, available online: https://doi.org/10.1080/1756073X.2019.1609254With the Church of England's ([2014. Formation Criteria with Mapped Selection Criteria for Ordained Ministry in the Church of England. https://www.churchofengland.org/media/2139103/formationcriteriaforordainedministryapprovedhofbpsdec2014.docx]) recent formation criteria now requiring ordinands to have a greater degree of reflexive capability, this article considers the pedagogy of Reflective Practice Groups in ordination training and focuses on how reflexivity can be developed in a group context, towards fostering greater spiritual formation, theological reflection, self-awareness, relational practices for pastoral encounter, resilience and self-care practices for ministry. Some ‘foci for reflexivity’ are advocated for use within Reflective Practice Groups in ordination training

Epigenome-wide association study of serum urate reveals insights into urate co-regulation and the SLC2A9 locus

Serum urate concentration can be studied in large datasets to find genetic and epigenetic loci that may be related to cardiometabolic traits. Here the authors identify and replicate 100 urate-associated CpGs, which provide insights into urate GWAS loci and shared CpGs of urate and cardiometabolic traits.Elevated serum urate levels, a complex trait and major risk factor for incident gout, are correlated with cardiometabolic traits via incompletely understood mechanisms. DNA methylation in whole blood captures genetic and environmental influences and is assessed in transethnic meta-analysis of epigenome-wide association studies (EWAS) of serum urate (discovery, n = 12,474, replication, n = 5522). The 100 replicated, epigenome-wide significant (p < 1.1E-7) CpGs explain 11.6% of the serum urate variance. At SLC2A9, the serum urate locus with the largest effect in genome-wide association studies (GWAS), five CpGs are associated with SLC2A9 gene expression. Four CpGs at SLC2A9 have significant causal effects on serum urate levels and/or gout, and two of these partly mediate the effects of urate-associated GWAS variants. In other genes, including SLC7A11 and PHGDH, 17 urate-associated CpGs are associated with conditions defining metabolic syndrome, suggesting that these CpGs may represent a blood DNA methylation signature of cardiometabolic risk factors. This study demonstrates that EWAS can provide new insights into GWAS loci and the correlation of serum urate with other complex traits.</p

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