Road Map to Becoming a Physician Assistant

The field of medicine is under constant change and reconstruction, especially when it comes to healthcare practitioners. When a demand is placed on the system, healthcare providers must figure out how they can satisfy the medical needs of the population. Within the past few decades there has been a shortage of people who are capable of fulfilling these needs. For this reason a new profession has been developed; it is called a Physician Assistant (PA). Professionals with this title have been through a rigorous training modeled after what a medical student goes through, but it is condensed into a much shorter program. Once completed, a PA must pass a national board exam, and then they can work in practically any healthcare setting to diagnose and treat patients, including writing prescriptions, ordering tests, and interpreting labs results. The one limitation is the PA must work under the supervision of a doctor (MD or DO). However, supervision varies and can simply mean that the doctor needs to be available by phone. Undergraduate students at theUniversityofRhode Islandwho are planning on going into healthcare may consider becoming a Physician Assistant. The problem with that is since the programs are newer than other healthcare options; there are currently a very limited amount of resources available to students exploring this opportunity. The requirements are different than those of medical schools, and can vary from PA school to PA school. The field also demands the student to experience a substantial amount of direct patient care to even be considered a good candidate. If an applicant is unaware of these requirements, he or she may need to take a few years off after graduating before being a strong enough applicant to be accepted into a program to become a PA. As a senior, I have already been through this application process. It is highly competitive because there is less schooling and less expense (than medical school) and the profession itself is ultimately appealing. I found that the students at URI could benefit from a resource that guides them through the steps of becoming a successful applicant. Therefore I have compiled a web-based resource that can be used as an advising tool in the future. I researched background information on the profession, which includes comparing it to other similar professions and job satisfaction. I also looked into specific resources that theUniversityofRhode Islandhas to offer students who are headed down the path to becoming a Physician Assistant. This includes recommended courses, campus involvement, and ways to get hands-on patient care. Finally, I take the students through the application process. Graduate programs require personal statements, letters of reference and if you seem promising, an interview. I believe that many URI students seeking to become a Physician Assistant will benefit from my research in the future

Assessing the sociology of sport: On race and diaspora

© The Author(s) 2014 On the 50th anniversary of the ISSA and IRSS, a key foundational scholar on the intersection of race and sport, Ben Carrington, reflects on the field as a whole and the notion of “diaspora” in understanding race and sport. In considering the trajectory of the sociology of sport, questions are raised about whether a coherent field has ever existed. Noting relative failures in getting “mainstream sociology” to take sport seriously, the challenges ahead are for a field that is necessarily a “multifaceted” entity, and one that ironically has never been more impactful while at its weakest institutional moment. Noting the paradox between the relative little consideration given to sport in the main sociology journals in the US and UK in contrast with the sociology of sport having successfully established self-reproducing and self-referencing spaces of critical enquiry, a key challenge for the field continues to be in its search for a “scholarly place;” it is less than clear whether the banner of “the sociology of sport” continues to resonate in the face of the neo-liberal assaults on critical scholarship within higher education. The concept of “diaspora,” surprisingly ignored in the study of sport, will be increasingly important in the future as it will enable critical race scholars to problematize the often Eurocentric and teleological underpinning of globalization theory in relation to sport; considerations of diaspora will fuel more meaningful accounts of how sport reconnects geographically dispersed groups and changes identities and subjectivities in hostile circumstances

Conformational states of HIV-1 reverse transcriptase for nucleotide incorporation vs. pyrophosphorolysis – binding of foscarnet

HIV-1 reverse transcriptase (RT) catalytically incorporates individual nucleotides into a viral DNA strand complementing an RNA or DNA template strand; the polymerase active site of RT adopts multiple conformational and structural states while performing this task. The states associated are dNTP binding at the N site, catalytic incorporation of a nucleotide, release of a pyrophosphate, and translocation of the primer 3′-end to the P site. Structural characterization of each of these states may help in understanding the molecular mechanisms of drug activity and resistance and in developing new RT inhibitors. Using a 38-mer DNA template-primer aptamer as the substrate mimic, we crystallized an RT/dsDNA complex that is catalytically active, yet translocation-incompetent in crystals. The ability of RT to perform dNTP binding and incorporation in crystals permitted obtaining a series of structures: (I) RT/DNA (P-site), (II) RT/DNA/AZTTP ternary, (III) RT/AZT-terminated DNA (N-site), and (IV) RT/AZT-terminated DNA (N-site)/foscarnet complexes. The stable N-site complex permitted the binding of foscarnet as a pyrophosphate mimic. The Mg2+ ions dissociated after catalytic addition of AZTMP in the pretranslocated structure III, whereas ions A and B had re-entered the active site to bind foscarnet in structure IV. The binding of foscarnet involves chelation with the Mg2+ (B) ion and interactions with K65 and R72. The analysis of interactions of foscarnet and the recently discovered nucleotide-competing RT inhibitor (NcRTI) α-T-CNP in two different conformational states of the enzyme provides insights for developing new classes of polymerase active site RT inhibitors

'Friends as enemies': A sociological analysis of the relationship among touring professional golfers

This paper examines the relationship among male touring professional golfers from a figurational sociological standpoint. The paper is based on 20 interviews from players with experience playing at various levels on the EPGA professional tours and a level ‘above’ that. The results indicate a workplace culture where many begin to adopt the attitudes and behaviors that encourage the development of networks of temporary ‘we-group’ alliances. The ‘touring’ aspects of professional golf means many players strive to forge these alliances to help reduce feelings of loneliness, isolation, and homesickness while away for long periods of time. Such stresses are intensified given the globalization of sport generally and the associated increases in labor market migration that has become commonplace. The urge to develop friendship networks constrains players to behave in a manner expected of them rather than in a way that reflects their actual emotions, such as maintaining a positive attitude during difficult times like spells of poor performances and time away from their families. The relationships among players on tour is, however, non-permanent and/or partially changeable. Players are ‘friends’, characterized by togetherness and camaraderie, while, at the same, showing evidence of tensions and conflict as they are ultimately in direct competition with each other for a share of the overall prize money. Key words: professional golf, workplace relations, sport labor migration, figurational sociology, friendship network

Vitreoretinal Lymphoma Presenting as Frosted Branch Angiitis in a Patient With Diffuse Large B-Cell Lymphoma

Purpose: To describe the evaluation, diagnosis, and treatment of vitreoretinal lymphoma presenting as frosted branch angiitis in a patient with diffuse large B-cell lymphoma (DLBCL). Observations: A 57-year-old woman with a history of non-Hodgkin lymphoma and recent DLBCL relapse presented with frosted branch angiitis that raised suspicion for an infectious retinitis but was found to be vitreoretinal lymphoma. Conclusions and Importance: This case primarily highlights the importance of considering vitreoretinal lymphoma on the differential diagnosis of etiologies of frosted branch angiitis. Despite suspicion for vitreoretinal lymphoma, it is also important to treat empirically for infectious etiologies of retinitis in cases of frosted branch angiitis. In this case where the diagnosis was ultimately vitreoretinal lymphoma, weekly alternating intravitreal injections of methotrexate and rituximab led to improvement in visual acuity and retinal infiltration

Professional golf - A license to spend money? Issues of money in the lives of touring professional golfers

This is the authors' PDF version of an article which appeared online on 11/11/2014 in published in Journal of Sport and Social Issues© 2014. The definitive version is available at http:dx.doi.org/10.1177/0193723514557819Drawing upon figurational sociology, this paper examines issues of money that are central to touring professional golfers’ workplace experiences. Based on interviews with 16 professionals, results indicate the monetary rewards available for top golfers continues to increase, however, such recompense is available to relatively small numbers and the majority fare poorly. Results suggest that playing on tour with other like-minded golfers fosters internalized constraints relating to behaviour, referred to as ‘habitus’, whereby many players ‘gamble’ on pursuing golf as their main source of income despite the odds against them. Golfers are constrained to develop networks with sponsors for financial reasons which has left some players with conflicting choices between regular money, and adhering to restrictive contractual agreements, or the freedom to choose between different brands

Glasgow 2014, the media and Scottish politics – the (post)imperial symbolism of the Commonwealth Games

This article critically examines print media discourses regarding the 2014 Glasgow Commonwealth Games. The forthcoming analysis considers the political symbolism of the Commonwealth Games with regards to the interlinkages between the British Empire, sport and the global political status of the UK, with specific consideration given to the UK’s declining global power as well as the interconnections between the 2014 Games and the Scottish independence referendum. Hechter’s (1975) ‘internal colonialism’ thesis, which portrays Scotland’s marginalised status within the UK, is drawn upon to critically explore the political symbolism of sport for Scottish nationalism, before discussion focuses upon the extent to which the modern Commonwealth is symptomatic of the UK’s declining status as a global power. Finally, the existence of these narrative tropes in print media coverage of the Commonwealth Games is examined, allowing for critical reflections on the continuing interconnections between the media, sport, nationalism and post-imperial global politics

Grey and white matter correlates of recent and remote autobiographical memory retrieval:Insights from the dementias

The capacity to remember self-referential past events relies on the integrity of a distributed neural network. Controversy exists, however, regarding the involvement of specific brain structures for the retrieval of recently experienced versus more distant events. Here, we explored how characteristic patterns of atrophy in neurodegenerative disorders differentially disrupt remote versus recent autobiographical memory. Eleven behavioural-variant frontotemporal dementia, 10 semantic dementia, 15 Alzheimer's disease patients and 14 healthy older Controls completed the Autobiographical Interview. All patient groups displayed significant remote memory impairments relative to Controls. Similarly, recent period retrieval was significantly compromised in behavioural-variant frontotemporal dementia and Alzheimer's disease, yet semantic dementia patients scored in line with Controls. Voxel-based morphometry and diffusion tensor imaging analyses, for all participants combined, were conducted to investigate grey and white matter correlates of remote and recent autobiographical memory retrieval. Neural correlates common to both recent and remote time periods were identified, including the hippocampus, medial prefrontal, and frontopolar cortices, and the forceps minor and left hippocampal portion of the cingulum bundle. Regions exclusively implicated in each time period were also identified. The integrity of the anterior temporal cortices was related to the retrieval of remote memories, whereas the posterior cingulate cortex emerged as a structure significantly associated with recent autobiographical memory retrieval. This study represents the first investigation of the grey and white matter correlates of remote and recent autobiographical memory retrieval in neurodegenerative disorders. Our findings demonstrate the importance of core brain structures, including the medial prefrontal cortex and hippocampus, irrespective of time period, and point towards the contribution of discrete regions in mediating successful retrieval of distant versus recently experienced events

Appropriate disclosure of a diagnosis of dementia : identifying the key behaviours of 'best practice'

Background: Despite growing evidence that many people with dementia want to know their diagnosis, there is wide variation in attitudes of professionals towards disclosure. The disclosure of the diagnosis of dementia is increasingly recognised as being a process rather than a one-off behaviour. However, the different behaviours that contribute to this process have not been comprehensively defined. No intervention studies to improve diagnostic disclosure in dementia have been reported to date. As part of a larger study to develop an intervention to promote appropriate disclosure, we sought to identify important disclosure behaviours and explore whether supplementing a literature review with other methods would result in the identification of new behaviours. Methods: To identify a comprehensive list of behaviours in disclosure we conducted a literature review, interviewed people with dementia and informal carers, and used a consensus process involving health and social care professionals. Content analysis of the full list of behaviours was carried out. Results: Interviews were conducted with four people with dementia and six informal carers. Eight health and social care professionals took part in the consensus panel. From the interviews, consensus panel and literature review 220 behaviours were elicited, with 109 behaviours over-lapping. The interviews and consensus panel elicited 27 behaviours supplementary to the review. Those from the interviews appeared to be self-evident but highlighted deficiencies in current practice and from the panel focused largely on balancing the needs of people with dementia and family members. Behaviours were grouped into eight categories: preparing for disclosure; integrating family members; exploring the patient's perspective; disclosing the diagnosis; responding to patient reactions; focusing on quality of life and well-being; planning for the future; and communicating effectively. Conclusion: This exercise has highlighted the complexity of the process of disclosing a diagnosis of dementia in an appropriate manner. It confirms that many of the behaviours identified in the literature (often based on professional opinion rather than empirical evidence) also resonate with people with dementia and informal carers. The presence of contradictory behaviours emphasises the need to tailor the process of disclosure to individual patients and carers. Our combined methods may be relevant to other efforts to identify and define complex clinical practices for further study.This project is funded by UK Medical Research Council, Grant reference number G0300999