Psychosocial and Psychological Challenges Faces Women Diagnosed with Cancer

According to the American Cancer Society (2015), there were approximately 231,840 new cases of breast cancer diagnosed with nearly 40,290 deaths related to this type of cancer in 2015. Furthermore, 67,770 new cases of uterine cancer were diagnosed in 2015 with almost 14,270 related deaths from this form of cancer. Research has shown that women diagnosed with cancer also experience psychosocial issues and psychological distress. Through this paper, we will identify specific psychosocial and mental health challenges women face when diagnosed with cancer. Specifically, we will research depression, anxiety and posttraumatic stress disorder (PTSD) and ways in which these psychological factors manifest within the cancer diagnosis. Once these psychosocial issues and psychological distress’ are identified, we will research evidenced based therapeutic interventions that can be beneficial in assisting women in processing through their cancer journey throughout many different stages and phases

Media Liability for Injuries That Result from Television Broadcasts to Immature Audiences

This Comment examines the tort liability of broadcasters for injuries that result from children imitating acts of television violence. The author proposes a cause of action in negligence derived from tort doctrines that recognize a special duty to children. The author further argues that the First Amendment does not preclude liability and illustrates how any effect on free speech would be minimal

The Medicare Health Outcomes Survey program: Overview, context, and near-term prospects

In 1996, the Centers for Medicare & Medicaid Services (CMS) initiated the development of the Medicare Health Outcomes Survey (HOS). It is the first national survey to measure the quality of life and functional health status of Medicare beneficiaries enrolled in managed care. The program seeks to gather valid and reliable health status data in Medicare managed care for use in quality improvement activities, public reporting, plan accountability and improving health outcomes based on competition. The context that led to the development of the HOS was formed by the convergence of the following factors: 1) a recognized need to monitor the performance of managed care plans, 2) technical expertise and advancement in the areas of quality measurement and health outcomes assessment, 3) the existence of a tested functional health status assessment tool (SF-36(®))1, which was valid for an elderly population, 4) CMS leadership, and 5) political interest in quality improvement. Since 1998, there have been six baseline surveys and four follow up surveys. CMS, working with its partners, performs the following tasks as part of the HOS program: 1) Supports the technical/scientific development of the HOS measure, 2) Certifies survey vendors, 3) Collects Health Plan Employer Data and Information Set(HEDIS(®))(2 )HOS data, 4) Cleans, scores, and disseminates annual rounds of HOS data, public use files and reports to CMS, Quality Improvement Organizations (QIOs), Medicare+Choice Organizations (M+COs), and other stakeholders, 5) Trains M+COs and QIOs in the use of functional status measures and best practices for improving care, 6) Provides technical assistance to CMS, QIOs, M+COs and other data users, and 7) Conducts analyses using HOS data to support CMS and HHS priorities. CMS has recently sponsored an evaluation of the HOS program, which will provide the information necessary to enhance the future administration of the program. Information collected to date reveals that the HOS program is a valuable tool that provides a rich set of data that is useful for quality monitoring and improvement efforts. To enhance the future of the HOS program, many stakeholders recommend the implementation of incentives to encourage the use of the data, while others identify the need to monitor the health status of plan disenrollees. Overall, the HOS program represents an important vehicle for collecting outcomes data from Medicare beneficiaries. The new Medicare Prescription Drug, Improvement, and Modernization Act (2003) mandates the collection and use of data for quality, outcomes measurement, program administration, and facilitating consumer choice. Consequently, it is important that the HOS program effectively meet this mandate

Listening to the Outliers: Refining the Curriculum for Dissertation Camps

Seeking to support graduate student writers, writing centers at research universities have developed highly successful dissertation camps over the past 15 years. Previous research from North American dissertation camps has demonstrated significant benefits from these camps, as dissertation writers developed new writing habits and increased their productivity. In this study, however, a closer look at initial and follow-up survey responses provided by participants from dissertation camps at two institutions—an Upper Midwestern university in the United States that has held camps for 11 years and an Eastern European university that held an online camp during the 2020 pandemic—suggests that focusing on the positive responses may obscure some telling tensions between dissertation camps’ benefits and limitations. Our research reveals tensions around four key parts of dissertation camp curricula—developing writing habits and schedules, sustaining a community of writers, focusing on the drafting stage, and emphasizing cross- disciplinary participation. Listening more deeply to these outlier responses sheds valuable light on the affordances and limitations of dissertation writing camps and on how the curricula of dissertation camps might be reimagined to better articulate and embrace those tensions

The A20 Protein Interacts with the Epstein–Barr Virus Latent Membrane Protein 1 (LMP1) and Alters the LMP1/TRAF1/TRADD Complex

The Epstein-Barr virus (EBV) latent membrane protein 1 (LMP1) interacts with the tumor necrosis factor receptor (TNFR)-associated factor (TRAF) molecules, which are important for LMP1-mediated signaling. Two domains of LMP1 can independently activate NF-kB, carboxyl-terminal activating region 1 (CTAR1) and CTAR2. The activation of NF-kB by CTAR1 occurs through direct interaction of LMP1 with the TRAF molecules, whereas CTAR2 interacts with the TNFR-associated death domain protein (TRADD) to activate NF-kB and the c-Jun N-terminal kinase (JNK). A20, which is induced by LMP1 through NF-kB, can block NF-kB activation from both domains of LMP1 and inhibit JNK activation from CTAR2. A20 also has been shown to associate with TRAF1 and TRAF2. In this study, an interaction between LMP1 and A20 was detected that was increased by TRAF2 overexpression. A20 did not affect the association of TRAF1 with TRAF2 but did displace TRAF1 from the LMP1 complex. The interaction of LMP1 and TRADD was decreased in the presence of A20, and the LMP1-A20 association was decreased by TRADD, suggesting that A20 and TRADD both interact with LMP1 and may compete for binding. These data indicate that A20 alters the interactions between LMP1 and the TRAF molecules and TRADD, affecting the activation of NF-kB, JNK, and perhaps other TRAF-mediated signaling events

The Development of Techie Times

Summer 2020 provided the motivation and opportunity to move summer outreach programs into the virtual world. Faculty and students in the Purdue University School of Engineering Technology moved face-to-face programs into a middle school program called Techie Times. This program was designed to provide students with an organized platform occurring just before the school year started, allowing them to learn at home, working with family, or independently. The program was designed to take place nonconsecutively over eight days, covering five various STEM topics. Some of these activities were already a part of the middle school curriculum; others were not. That provided an opportunity to engage students and teach them principles that support various engineering technology curricula. Students were recruited from across the country. Students were placed into three cohorts sorted by biological age and then into smaller groups to enhance interactions. Volunteers moderated the smaller groups representing corporate engineering retirees, university professors, and others interested in helping. The volunteers were provided with information to support the principles being learned in the activity of the day. They asked the students to demonstrate what they did at home and then asked them questions about what they learned from the activity. In the older age groups, volunteers generated hypotheses and tested them to see if they worked, thus providing a challenge for the older and more experienced students. This camp proved to be well-timed on the summer calendar. Parents expressed their pleasure in their students becoming a bit more disciplined as they transitioned from their summer activities to the upcoming school year. This paper will review the program’s curriculum, observations by the parents/guardians, and feedback from the students. The program is an example of a well-transformed outreach program that engaged and enlightened students

Reproductive health services in KwaZulu Natal, South Africa: A situation analysis study focusing on HIV/AIDS services

This Horizons report examines the readiness of reproductive health services in South Africa, which are primarily geared to women, to deliver HIV and AIDS treatment, care, and prevention services. The goal of the study was to obtain information from a representative sample of provincial health care facilities offering reproductive health services in KwaZulu Natal to meet the growing demand for HIV/AIDS-related services. Ninety-eight hospitals, community health centers, and clinics participated in the situation analysis that identified gaps in service delivery and determined priorities for service integration. Results of the study were presented to a large audience of Department of Health, NGO, and donor agency staff with the hope that this workshop would set a trend for feedback and the use of research for service improvement