One Under Glass

Grand Central Station 5:10 I blend myself into the train which sits in the slip waiting to fill with faceless angels and threats colored post 50\u27s win well-aged wafts into the seat beside me..

Uncovering Marginalized Topics Using WebQuests: From Atlanta to the Zoot Suit Riots

A critical part of social studies instruction is involving students in making sense of social issues in the past and present to help inform their decisions in the future. Through engaged inquiry students can tackle relevant topics associated with race, class, culture, gender, language, and nationality and explore how these challenging issues mitigate people’s experiences. Moreover, these issues reflect similar tensions that students encounter in their everyday lives. Although these social issues have historical and contemporary relevance, they often are marginalized in state standards and textbooks

Uncovering Marginalized Topics Using WebQuests: From Atlanta to the Zoot Suit Riots

A critical part of social studies instruction is involving students in making sense of social issues in the past and present to help inform their decisions in the future. Through engaged inquiry students can tackle relevant topics associated with race, class, culture, gender, language, and nationality and explore how these challenging issues mitigate people’s experiences. Moreover, these issues reflect similar tensions that students encounter in their everyday lives. Although these social issues have historical and contemporary relevance, they often are marginalized in state standards and textbooks

Optimal Sequential Selection of a Monotone Sequence From a Random Sample

The length of the longest monotone increasing subsequence of a random sample of size n is known to have expected value asymptotic to 2n1/2. We prove that it is possible to make sequential choices which give an increasing subsequence of expected length asymptotic to (2n)1/2. Moreover, this rate of increase is proved to be asymptotically best possible

State of Health in Northern Kentucky: How We Compare, Why it Matters to Business

County-level data is becoming increasingly important for rural health planning. This presentation analyzes the health of several northern Kentucky counties and the potential consequences for the region’s employers

Assessment of Physician Workforce Supply and Demand in the US

Rural community and migrant health centers face major problems in attracting and retaining physicians. This presentation addresses that issue by projecting health services demands, physician specialty distribution and physician supply, as well as suggesting methods for increasing physician supply and reducing consumer demand

Stability of a fluid in a rectangular region heated from below

Finite-difference methods were used to compute hydrodynamic instability due to natural convection in an enclosed horizontal rectangular region heated from below. Critical Rayleigh numbers were determined for a series of Prandtl numbers and length-to-height ratios. For Prandtl numbers greater than unity excellent agreement was obtained between these calculations and the values predicted by Kurzweg on the basis of a linearized theory. However, for Prandtl numbers less than unity the critical Rayleigh numbers exhibited a dependence on N Pr , which was not predicted by the linearized theory. For Rayleigh numbers greater than the critical, complete temperature and velocity fields were determined. The calculations assumed that the fluid motion is two dimensional. Experiments have indicated that the flow may be two or three dimensional depending on minor perturbations in the boundary conditions. Although a number of metastable two-dimensional circulations are possible for symmetrical initial conditions, the calculation always converged to a single, unique solution for any asymmetric initial condition.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/37346/1/690130115_ftp.pd

Medullary thyroid cancer in a 9-week-old infant with familial MEN 2B: Implications for timing of prophylactic thyroidectomy

BACKGROUND: Patients with Multiple Endocrine Neoplasia type 2 (MEN 2) are at high risk of developing aggressive medullary thyroid carcinoma (MTC) in childhood, with the highest risk in those with MEN type 2B (of whom >95% have an M918T RET proto-oncogene mutation). Metastatic MTC has been reported as young as 3 months of age. Current guidelines recommend prophylactic thyroidectomy within the first year of life for MEN 2B. PATIENT FINDINGS: We report a 9-week-old infant with MTC due to familial MEN 2B. A full-term male infant, born to a mother with known MEN 2B and metastatic MTC, had an M918T RET proto-oncogene mutation confirmed at 4 weeks of age. He underwent prophylactic total thyroidectomy at 9 weeks of age. Pathology showed a focal calcitonin-positive nodule (2.5 mm), consistent with microscopic MTC. SUMMARY: This case highlights the importance of early prophylactic thyroidectomy in MEN 2B. Although current guidelines recommend surgery up to a year of life, MTC may occur in the first few weeks of life, raising the question of how early we should intervene. In this report, we discuss the risks, benefits and barriers to performing earlier thyroidectomy, soon after the first month of life, and make suggestions to facilitate timely intervention. Prenatal anticipatory surgical scheduling could be considered in familial MEN 2B. Multidisciplinary collaboration between adult and pediatric specialists is key to the optimal management of the infant at risk