Teaching Characteristics, Learning styles and the Adult Learner: A Keesler Perspective

This study emerged as a natural outgrowth of quarterly faculty meetings conducted in accordance with suggestions contained in the Faculty Academic Orientation Manual (FOAM). On a routine basis topics of interest would be discussed regarding the institution and the latest administrative changes in general to an area of specific concern in particular. These special interest areas would cover such topics as assessment and grading policies, faculty responsibilities, course evaluation and teaching techniques. In time it became readily apparent that student input reflecting their attitudes on some of these teaching characteristics would give clearer meaning and importance to these dimensions. It was also believed that we needed to discover what learning styles were dominant to these adult learners at this military training complex. Accordingly, a relatively straightforward inventory of learning style was incorporated in a survey questionnaire investigating a cluster of learning components, instructor characteristics and student preferences for both teaching method and learning mode. The survey was distributed to all active students enrolled at the Keesler Resident Center during the February - March 1993 time frame

Intracellular Pathways Associated with the Etiology of Autism

This chapter explores the relationship between the genes and proteins of the Akt and MAPK pathways and autism. This chapter presents the biology of these two pathways, their genes and cascading proteins, and then, it looks at the research that has connected these molecules to autism. Finally, it imparts current and future therapeutic modalities that might exploit abnormalities in these genes and proteins, change them and ultimately alter aberrant autistic behaviors

Re-Evaluating Subsidies for Services That Carry no Positive Externalities: A Benefit-Cost Analysis of Convenience Loop Busing versus Walking

This paper seeks to provide a benefit-cost analysis of continuous loop busing service offered by The University of Toledo in Toledo, Ohio. The on-campus busing service is completely subsidized by the university through student fees and provided as a free service to students with less than one-quarter of students currently using the service. Using a contingent valuation survey, we estimate a lower bound mean willingness to pay (WTP) of about $6 per student user per semester. Multiplying by the student body population leads to a total WTP estimate of approximately$37,000 per semester. When compared solely to labor and fuel costs to operate the loop busing, costs outweighed benefits $41,000 to$37,000. This does not include maintenance costs on the buses, pollution from burning diesel fuel, or the opportunity cost incurred when students are riding instead of walking. There are no positive externalities from Toledo on-campus busing since it’s only a convenience service to shuttle students from parking and from building to building. Students use the service when it carries an artificially low cost of zero dollars, for which they could walk in approximately the same amount of time, with walking being an activity that would provide positive externalities to society through the known health benefits from exercise

Low Serum Alpha-1 Antitrypsin (AAT) in Family Members of Individuals with Autism Correlates with PiMZ Genotype

Aim Deficiency of Alpha-1-antitrypsin (AAT) can be a genetic condition that increases the risk of developing liver, lung and possibly gastrointestinal disease. Since many autistic children also have gastrointestinal disorders, this study was designed to measure serum concentration of AAT and establish AAT genotypes in autistic children, age and gender matched non-autistic siblings, parents and controls. Subjects and Methods We used an indirect ELISA with monoclonal IgG to AAT to measure AAT serum concentrations in 71 members from 16 families of individuals with autism and 18 controls (no family history of autism). We used a duplex polymerase chain reaction to detect M, S and Z alleles for alpha-1 antitrypsin expression in 52 members of 12 of the above families. Results A significantly high number of autistic family members had lower than normal serum levels of AAT when compared to controls. Autistic children with regressive onset had significantly lower levels of AAT compared to controls, and a significant number of autistic children with low serum AAT also had hyperbilirubinemia, gastrointestinal disease and respiratory problems. We also found that a significantly high number of these individuals had the PiMZ genotype and correspondingly low levels of serum alpha-1 antitrypsin. Discussion Knowing that low levels of alpha-1 antitrypsin may be inherited, and that low levels of AAT may be associated with GI disease in autistic children, genotyping autistic children may help identify individuals susceptible to developing digestive problems

Inpatient urine cultures are frequently performed without urinalysis or microscopy: Findings from a large academic medical center

OBJECTIVETo describe the frequency of urine cultures performed in inpatients without additional testing for pyuriaDESIGNRetrospective cohort studySETTINGA 1,250-bed academic tertiary referral centerPATIENTSHospitalized adultsMETHODSThis study included urine cultures drawn on 4 medical and 2 surgical wards from 2009 to 2013 and in the medical and surgical intensive care units (ICUs) from 2012 to 2013. Patient and laboratory data were abstracted from the hospital’s medical informatics database. We identified catheter-associated urinary tract infections (CAUTIs) in the ICUs by routine infection prevention surveillance. Cultures without urinalysis or urine microscopy were defined as “isolated.” The primary outcome was the proportion of isolated urine cultures obtained. We used multivariable logistic regression to assess predictors of isolated cultures.RESULTSDuring the study period, 14,743 urine cultures were obtained (63.5 cultures per 1,000 patient days) during 11,820 patient admissions. Of these, 2,973 cultures (20.2%) were isolated cultures. Of the 61 CAUTIs identified, 31 (50.8%) were identified by an isolated culture. Predictors for having an isolated culture included male gender (adjusted odds ratio [aOR], 1.22; 95%; confidence interval [CI], 1.11–1.35], urinary catheterization (aOR, 2.15; 95% CI, 1.89–2.46), ICU admission (medical ICU aOR, 1.72; 95% CI, 1.47–2.00; surgical ICU aOR, 1.82; 95% CI, 1.51–2.19), and obtaining the urine culture ≥1 calendar day after admission (1–7 days aOR, 1.91; 95% CI. 1.71–2.12; &gt;7 days after admission aOR, 2.81; 95% CI, 2.37–3.34).CONCLUSIONSIsolated urine cultures are common in hospitalized patients, particularly in patients with urinary catheters and those in ICUs. Interventions targeting inpatient culturing practices may improve the diagnosis of urinary tract infections.Infect Control Hosp Epidemiol2017;38:455–460</jats:sec

Low serum myeloperoxidase in autistic children with gastrointestinal disease

Anthony J Russo1, Arthur Krigsman2, Bryan Jepson2, Andy Wakefield21Research Director, Health Research Institute/Pfeiffer Treatment Center, Warrenville, IL, USA; 2Thoughtful House Center for Children, Austin, TX, USAAim: To assess serum myeloperoxidase (MPO) levels in autistic children with severe gastrointestinal (GI) disease and to test the hypothesis that there is an association between serum MPO concentration and inflammatory GI disease, including antineutrophil cytoplasmic antibodies (ANCA), previously seen in a subgroup of autistic children.Subjects and methods: Serum from 40 autistic children with chronic digestive disease (most with ileo-colonic lymphoid nodular hyperplasia (LNH) and inflammation of the colorectum, small bowel and/or stomach), and 48 controls (12 age-matched autistic children with no GI disease, 20 age-matched children without autism or GI disease, and 16 nonautistic individuals with no family history of autism) were tested using enzyme-linked immunosorbent assays designed to quantitate serum MPO levels. MPO serum concentration of autistic children with GI disease was compared to GI disease severity (including LNH and erythema) and presence of ANCA.Results: We found that a significant number of autistic children with chronic digestive disease had low serum levels of MPO. However, there was no significant relationship between these levels and severity of GI disease, including the presence of ANCA.Discussion: These results suggest a relationship between low MPO levels and GI disease seen in a subpopulation of autism spectrum disorders individuals. MPO concentration may therefore be a useful biomarker for GI disease in this group of autistic children.Keywords: autism spectrum disorders, autism, myeloperoxidase, GI disease, oxidative stres

Saturation mutagenesis reveals manifold determinants of exon definition.

To illuminate the extent and roles of exonic sequences in the splicing of human RNA transcripts, we conducted saturation mutagenesis of a 51-nt internal exon in a three-exon minigene. All possible single and tandem dinucleotide substitutions were surveyed. Using high-throughput genetics, 5560 minigene molecules were assayed for splicing in human HEK293 cells. Up to 70% of mutations produced substantial (greater than twofold) phenotypes of either increased or decreased splicing. Of all predicted secondary structural elements, only a single 15-nt stem-loop showed a strong correlation with splicing, acting negatively. The in vitro formation of exon-protein complexes between the mutant molecules and proteins associated with spliceosome formation (U2AF35, U2AF65, U1A, and U1-70K) correlated with splicing efficiencies, suggesting exon definition as the step affected by most mutations. The measured relative binding affinities of dozens of human RNA binding protein domains as reported in the CISBP-RNA database were found to correlate either positively or negatively with splicing efficiency, more than could fit on the 51-nt test exon simultaneously. The large number of these functional protein binding correlations point to a dynamic and heterogeneous population of pre-mRNA molecules, each responding to a particular collection of binding proteins

Selective-exhaust gas recirculation for CO2 capture using membrane technology

Membranes can potentially offer low-cost CO2 capture from post-combustion flue gas. However, the low partial pressure of CO2 in flue gases can inhibit their effectiveness unless methods are employed to increase their partial pressure. Selective-Exhaust Gas Recirculation (S-EGR) has recently received considerable attention. In this study, the performance of a dense polydimethylsiloxane (PDMS) membrane for the separation of CO2/N2 binary model mixtures for S-EGR application was investigated using a bench-scale experimental rig. Measurements at different pressures, at different feeding concentrations and with nitrogen as sweep gas revealed an average carbon dioxide permeability of 2943 ± 4.1%RSD Barrer. The bench-scale membrane module showed high potential to separate binary mixtures of N2 and CO2 containing 5–20% CO2. The permeability was slightly affected by feed pressures ranging from 1 to 2.4 bar. Furthermore, the separation selectivity for a CO2/N2 mixture of 10%/90% (by volume) reached a maximum of 10.55 at 1.8 bar. Based on the results from the bench-scale experiments, a pilot-scale PDMS membrane module was tested for the first time using a real flue gas mixture taken from the combustion of natural gas. Results from the pilot-scale experiments confirmed the potential of the PDMS membrane system to be used in an S-EGR configuration for capture of CO2