Expanding Our Understanding Complex Decision-Making in Emergent, Routine, and Urgent Ethically Challenging Clinical Situations

Study Purpose The purpose of this study was to discover and identify the continuum between conscientious objectors and designated staff in the provision of nursing care to women seeking abortions. More specifically, we sought to gain a deeper understanding of processes that nurses use when making clinical decisions in ethically challenging situations using abortion as the clinical contex

PDV Development at the LANL Proton Radiography Facility: Smaller, Cheaper, Lower Bandwidth

Author Institution: Los Alamos National Laboratory, Physics DivisionSlides presented at the 2016 Photonic Doppler Velocimetry (PDV) unclassified program, Bankhead Theater, Livermore, California, June 7 - 9, 2016. Morning program, June 7, 2016

Race, Food, and Borders: Situating Migrant Struggle in the Okanagan Valley, British Columbia

Over the past century, the Okanagan Valley's social, economic, and physical landscape has been largely shaped by the region's agricultural industry. Within this landscape migrant farmworkers have an essential role, yet are rendered invisible and remain marginalized. This commentary explores migrants' struggle by looking at the intersections of colonialism, race, borders, and the local food economy. We begin with a historical examination of the racialized nature of the region's agricultural labor force, and also provide an overview of the local food economy. Following this, we outline Canada's Seasonal Agricultural Worker Program (SAWP) and discuss how the SAWP places migrant laborers in positions of precarity, often resulting in worker isolation and superexploitation. We then turn to the social conditions migrant workers encounter upon arriving in the Okanagan Valley by describing the institutional discrimination they face, as well as the everyday prejudices and aggressions they endure due to their status of being labeled both "foreign" and "temporary." Next we provide a brief explanation of settler colonialism, the imposition of borders, and the common struggles shared by migrant workers and Aboriginal people. Finally, we offer some recommendations for change that would ameliorate some of the challenges migrant workers experience upon arriving in the Okanagan

Obesity inhibits the osteogenic differentiation of human adipose-derived stem cells

Additional file 3: Figure S3. No observable differences in lnASCs and obASCs during early bone regeneration. Critical size calvarial defects were created in the parietal bone of nude mice and assessed after 2 weeks. (A) Representative images of microCT scanning. (B) Quantification of microCT. Scale bar represents 1 mm. Bars, Âą SEM

Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum: A Randomized Controlled Trial

To compare intrauterine device (IUD) use at 6 months postpartum among women who underwent intracesarean delivery (during cesarean delivery) IUD placement versus women who planned for interval IUD placement 6 or more weeks postpartum

Breast Cancer Presenting as Unilateral Arm Edema

CONTEXT: Symptomatic arm lymphedema as the presenting symptom of invasive breast carcinoma is a rare occurrence. DESIGN: We report a case of invasive breast cancer presenting with unilateral arm swelling. The patient was initially thought to have venous thrombosis. A thorough physical examination and a mammogram revealed the presence of breast cancer and associated subclinical axillary lymphadenopathy. CONCLUSION: Failure to recognize this presentation can lead to misdiagnosis or a significant delay in diagnosis and treatment

KSU Men\u27s Ensemble, KSU Community & Alumni Choir and KSU Chamber Singers, Illumination

KSU School of Music presents Illumination with KSU Men\u27s Ensemble, The Kennesaw State University Community and Alumni Choir and KSU Chamber Singers featuring John Rutter\u27s Gloria!https://digitalcommons.kennesaw.edu/musicprograms/1249/thumbnail.jp

Is local review of positron emission tomography scans sufficient in diffuse large B-cell lymphoma clinical trials? A CALGB 50303 analysis

BACKGROUND: Quantitative methods of Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) interpretation, including the percent change in FDG uptake from baseline (ΔSUV), are under investigation in lymphoma to overcome challenges associated with visual scoring systems (VSS) such as the Deauville 5-point scale (5-PS). METHODS: In CALGB 50303, patients with DLBCL received frontline R-CHOP or DA-EPOCH-R, and although there were no significant associations between interim PET responses assessed centrally after cycle 2 (iPET) using 5-PS with progression-free survival (PFS) or overall survival (OS), there were significant associations between central determinations of iPET ∆SUV with PFS/OS. In this patient cohort, we retrospectively compared local vs central iPET readings and evaluated associations between local imaging data and survival outcomes. RESULTS: Agreement between local and central review was moderate (kappa = 0.53) for VSS and high (kappa = 0.81) for ∆SUV categories (\u3c66% vs. ≥66%). ∆SUV ≥66% at iPET was significantly associated with PFS (p = 0.03) and OS (p = 0.002), but VSS was not. Associations with PFS/OS when applying local review vs central review were comparable. CONCLUSIONS: These data suggest that local PET interpretation for response determination may be acceptable in clinical trials. Our findings also highlight limitations of VSS and call for incorporation of more objective measures of response assessment in clinical trials

Choral Ensembles Spring Concert

Kennesaw State University School of Music presents Choral Ensembles Spring Concert.https://digitalcommons.kennesaw.edu/musicprograms/1405/thumbnail.jp