Prospectus, January 30, 1973

PARKLAND BOARD NEWS; Student Government news; Clean ; Voting for PC Queens; Cruisin\u27 \u2773; True happenings; Nixon needs to be enlightened ; What about victims of crime? ; I\u27d like to defend my views ; A hospital for Vietnam children; PC guidelines; Many sources provide financial aid to students; Judges named for Parkland awards competition; Agricultural mini-courses; PC Bridgies win match; Louise Allen on NCACSS Exec Board; Industrial First Aid; WIU to register here this spring; red, white, and blue; Preparing for Spring enrollmenthttps://spark.parkland.edu/prospectus_1973/1013/thumbnail.jp

Ethics roundtable: Using new, expensive drugs

Costly genetically engineered therapies, which threaten to cripple the health care industry economy and undermine the common good if applied indiscriminately, loom on the horizon. The spectrum of applicable candidates include moribund nursing home patients at the end of life. They will be fair game for therapy that will ultimately send them back to nursing homes to return later with the same condition. 'Quality of life' assessments that limit patient autonomy may be forced as a result. Discussants from South Africa, New Zealand, and the USA suggest methods to deal with this issue in a just and ethical framework

The Genetic Architecture of Type 1 Diabetes

Type 1 diabetes (T1D) is classically characterised by the clinical need for insulin, the presence of disease-associated serum autoantibodies, and an onset in childhood. The disease, as with other autoimmune diseases, is due to the interaction of genetic and non-genetic effects, which induce a destructive process damaging insulin-secreting cells. In this review, we focus on the nature of this interaction, and how our understanding of that gene–environment interaction has changed our understanding of the nature of the disease. We discuss the early onset of the disease, the development of distinct immunogenotypes, and the declining heritability with increasing age at diagnosis. Whilst Human Leukocyte Antigens (HLA) have a major role in causing T1D, we note that some of these HLA genes have a protective role, especially in children, whilst other non-HLA genes are also important. In adult-onset T1D, the disease is often not insulin-dependent at diagnosis, and has a dissimilar immunogenotype with reduced genetic predisposition. Finally, we discuss the putative nature of the non-genetic factors and how they might interact with genetic susceptibility, including preliminary studies of the epigenome associated with T1D

Management of Latent Autoimmune Diabetes in Adults : A Consensus Statement From an International Expert Panel

A substantial proportion of patients with adult-onset diabetes share features of both type 1 diabetes (T1D) and type 2 diabetes (T2D). These individuals, at diagnosis, clinically resemble T2D patients by not requiring insulin treatment, yet they have immunogenetic markers associated with T1D. Such a slowly evolving form of autoimmune diabetes, described as latent autoimmune diabetes of adults (LADA), accounts for 2-12% of all patients with adult-onset diabetes, though they show considerable variability according to their demographics and mode of ascertainment. While therapeutic strategies aim for metabolic control and preservation of residual insulin secretory capacity, endotype heterogeneity within LADA implies a personalized approach to treatment. Faced with a paucity of large-scale clinical trials in LADA, an expert panel reviewed data and delineated one therapeutic approach. Building on the 2020 American Diabetes Association (ADA)/European Association for the Study of Diabetes (EASD) consensus for T2D and heterogeneity within autoimmune diabetes, we propose "deviations" for LADA from those guidelines. Within LADA, C-peptide values, proxy for beta-cell function, drive therapeutic decisions. Three broad categories of random C-peptide levels were introduced by the panel:1) C-peptide levels 2) C-peptide values >= 0.3 and 0.7 nmol/L: suggests a modified ADA/EASD algorithm as for T2D but allowing for the potentially progressive nature of LADA by monitoring C-peptide to adjust treatment. The panel concluded by advising general screening for LADA in newly diagnosed non-insulin-requiring diabetes and, importantly, that large randomized clinical trials are warranted.Peer reviewe

Holiday Pops

Program listing performers and works performe

A disciplinary commons for database teaching

This paper discusses the experience of taking part in a disciplinary commons devoted to the teaching of database systems. It will discuss the structure of a disciplinary commons and our experience of the database version

An integrated assessment of the potential impacts of climate change on Indiana forests

Forests provide myriad ecosystem services, many of which are vital to local and regional economies. Consequently, there is a need to better understand how predicted changes in climate will impact forests dynamics and the implications of such changes for society as a whole. Here we focus on the impacts of climate change on Indiana forests, which are representative of many secondary growth broadleaved forests in the greater Midwest region in terms of their land use history and current composition. We find that predicted changes in climate for the state – warmer and wetter winters/springs and hotter and potentially drier summers – will dramatically shape forest communities, resulting in new assemblages of trees and wildlife that differ from forest communities of the past or present. Overall, suitable habitat is expected to decline for 17-29 percent of tree species and increase for 43-52 percent of tree species in the state, depending on the region and climate scenario. Such changes have important consequences for wildlife that depend on certain tree species or have ranges with strong sensitivities to climate. Additionally, these changes will have potential economic impacts on Indiana industries that depend on forest resources and products (both timber and non-timber). Finally, we offer some practical suggestions on how management may minimize the extent of climate-induced ecological impacts, and highlight a case study from a tree planting initiative currently underway in the Patoka River National Wildlife Refuge and Management Area

Investigating discrepancies between experimental solid-state NMR and GIPAW calculation : NC–N 13C and OH⋯O 1H chemical shifts in pyridinium fumarates and their cocrystals

An NMR crystallography analysis is presented for four solid-state structures of pyridine fumarates and their cocrystals, using crystal structures deposited in the Cambridge Crystallographic Data Centre, CCDC. Experimental one-dimensional, one-pulse 1H and 13C cross-polarisation (CP) magic-angle spinning (MAS) nuclear magnetic resonance (NMR) and two-dimensional 14N–1H heteronuclear multiple-quantum coherence MAS NMR spectra are compared with gauge-including projector augmented wave (GIPAW) calculations of the 1H and 13C chemical shifts and the 14N shifts that additionally depend on the quadrupolar interaction. Considering the high ppm (>10 ppm) 1H resonances, while there is good agreement (within 0.4 ppm) between experiment and GIPAW calculation for the hydrogen-bonded NH moieties, the hydrogen-bonded fumaric acid OH resonances are 1.2–1.9 ppm higher in GIPAW calculation as compared to experiment. For the cocrystals of a salt and a salt formed by 2-amino-5-methylpyridinium and 2-amino-6-methylpyridinium ions, a large discrepancy of 4.2 and 5.9 ppm between experiment and GIPAW calculation is observed for the quaternary ring carbon 13C resonance that is directly bonded to two nitrogens (in the ring and in the amino group). By comparison, there is excellent agreement (within 0.2 ppm) for the quaternary ring carbon 13C resonance directly bonded to the ring nitrogen for the salt and cocrystal of a salt formed by 2,6-lutidinium and 2,5-lutidine, respectively