Grief Counseling Skills: Supporting Students in a Virtual Residency

Grief counseling is an important skillset for professional counselors. Two counselor educators in an online counseling program describe how they incorporated grief counseling coursework within a virtual residency. They followed grief counseling instruction best practices to facilitate skills training with students. The virtual residency also included skills practices, grief counseling role plays, and guest speakers with grief expertise. Wellness considerations to support students throughout the course and residency are also described

Association between health insurance literacy and avoidance of health care services owing to cost

Importance: Navigating health insurance and health care choices requires considerable health insurance literacy. Although recommended preventive services are exempt from out-of-pocket costs under the Affordable Care Act, many people may remain unaware of this provision and its effect on their required payment. Little is known about the association between individuals\u27 health insurance literacy and their use of preventive or nonpreventive health care services. Objective: To assess the association between health insurance literacy and self-reported avoidance of health care services owing to cost. Design, Setting, and Participants: In this survey study, a US national, geographically diverse, nonprobability sample of 506 US residents aged 18 years or older with current health insurance coverage was recruited to participate in an online survey between February 22 and 23, 2016. Main Outcomes and Measures: The validated 21-item Health Insurance Literacy Measure (HILM) assessed individuals\u27 self-rated confidence in selecting and using health insurance (score range, 0-84, with higher scores indicating greater levels of health insurance literacy). Dependent variables included delayed or foregone preventive and nonpreventive services in the past 12 months owing to perceived costs, and preventive and nonpreventive use of services. Covariates included age, sex, race/ethnicity, income, educational level, high-deductible health insurance plan, health literacy, numeracy, and chronic health conditions. Analyses included descriptive statistics and bivariate and multivariable logistic regression. Results: A total of 506 of 511 participants who began the survey completed it (participation rate, 99.0%). Of the 506 participants, 339 (67.0%) were younger than 35 years (mean [SD] age, 34 [10.4] years), 228 (45.1%) were women, 406 of 504 who reported race (80.6%) were white, and 245 (48.4%) attended college for 4 or more years. A total of 228 participants (45.1%) had 1 or more chronic health condition, 361 of 500 (72.2%) who responded to the survey item had seen a physician in the outpatient setting in the past 12 months, and 446 of the 501 (89.0%) who responded to the survey item had their health insurance plan for 12 or more months. One hundred fifty respondents (29.6%) reported having delayed or foregone care because of cost. The mean (SD) HILM score was 63.5 (12.3). In multivariable logistic regression, each 12-point increase in HILM score was associated with a lower likelihood of both delayed or foregone preventive care (adjusted odds ratio [aOR], 0.61; 95% CI, 0.48-0.78) and delayed or foregone nonpreventive care (aOR, 0.71; 95% CI, 0.55-0.91). Conclusions and Relevance: This study\u27s findings suggest that lower health insurance literacy may be associated with greater avoidance of both preventive and nonpreventive services. It appears that to improve appropriate use of recommended health care services, including preventive health services, clinicians, health plans, and policymakers may need to communicate health insurance concepts in accessible ways regardless of individuals\u27 health insurance literacy. Plain language communication may be able to improve patients\u27 understanding of services exempt from out-of-pocket costs

Are We Fulfilling the Promise of a Jesuit Education? A Group of Educators’ Reflective Examen

Higher education is often faced with external pressures that can guide the practice and offerings of colleges and universities. Graduate professional education in the health professions is especially prone to accreditation standards and its associated professional movements. At a Jesuit university, these external pressures, along with public pressure for job-ready graduates, must be intertwined with the history and the promise of a Jesuit education — that of transformation. As educators at a Jesuit university, our roles involve more than offering this kind of education. Our responsibility is to revisit what this promise means as a way of examining our practice. This article shares the reflective practice of five colleagues working in different roles at a Jesuit university seeking answers to questions of whether they are delivering on the promise of Jesuit education. The article includes a guiding set of questions, a short reflection on each author’s experience, and a review of the external and internal influences on their programs, providing a guide for a type of practice Examen that can be used by any faculty or staff member

ARHGEF9 disease: Phenotype clarification and genotype-phenotype correlation.

ObjectiveWe aimed to generate a review and description of the phenotypic and genotypic spectra of ARHGEF9 mutations.MethodsPatients with mutations or chromosomal disruptions affecting ARHGEF9 were identified through our clinics and review of the literature. Detailed medical history and examination findings were obtained via a standardized questionnaire, or if this was not possible by reviewing the published phenotypic features.ResultsA total of 18 patients (including 5 females) were identified. Six had de novo, 5 had maternally inherited mutations, and 7 had chromosomal disruptions. All females had strongly skewed X-inactivation in favor of the abnormal X-chromosome. Symptoms presented in early childhood with delayed motor development alone or in combination with seizures. Intellectual disability was severe in most and moderate in patients with milder mutations. Males with severe intellectual disability had severe, often intractable, epilepsy and exhibited a particular facial dysmorphism. Patients with mutations in exon 9 affecting the protein's PH domain did not develop epilepsy.ConclusionsARHGEF9 encodes a crucial neuronal synaptic protein; loss of function of which results in severe intellectual disability, epilepsy, and a particular facial dysmorphism. Loss of only the protein's PH domain function is associated with the absence of epilepsy

Host phenotype characteristics and MC1R in relation to early-onset basal cell carcinoma.

Basal cell carcinoma (BCC) incidence is increasing, particularly among adults under the age of 40 years. Pigment-related characteristics are associated with BCC in older populations, but epidemiologic studies among younger individuals and analyses of phenotype-genotype interactions are limited. We examined self-reported phenotypes and melanocortin 1 receptor gene (MC1R) variants in relation to early-onset BCC. BCC cases (n=377) and controls with benign skin conditions (n=390) under the age of 40 years were identified through Yale's Dermatopathology database. Factors most strongly associated with early-onset BCC were skin reaction to first summer sun for 1 hour (severe sunburn vs. tan odds ratio (OR)=12.27, 95% confidence interval (CI)=4.08-36.94) and skin color (very fair vs. olive OR=11.06, 95% CI=5.90-20.74). Individuals with two or more MC1R non-synonymous variants were 3.59 times (95% CI=2.37-5.43) more likely to have BCC than those without non-synonymous variants. All host characteristics and MC1R were more strongly associated with multiple BCC case status (37% of cases) than a single BCC case status. MC1R, number of moles, skin reaction to first summer sun for 1 hour, and hair and skin color were independently associated with BCC. BCC risk conferred by MC1R tended to be stronger among those with darker pigment phenotypes, traditionally considered to be at low risk of skin cancer

The Grizzly, February 1, 2001

Fight to Save Collegeville dam Reaches Critical Point • UC to Honor Black History • Duryea, Maples in Need of Repairs, Students Say • Biology Majors Spend Break in Costa Rica • Opinions: Absolut Pathetic: Student Alcohol Abuse on Campus a Sobering, Serious Problem; Election Critical to Israel\u27s Future; Hail to the Chief or Hail to the Thief? • Get Weekly Dose of S&M, Double S on Ursinus TV • Berman Exhibit Looks \u27Beyond the Wall\u27 • As Winter Roars, How to Keep the Flu Virus From Getting to You • Bears Basketball Downs Mules, Improves to 12-6 • Snell Symposium Meets with Success • Swim Team Succeeds Poolside in Spite of Loss • Gymnastics in Midst of Terrific Seasonhttps://digitalcommons.ursinus.edu/grizzlynews/1482/thumbnail.jp

The Grizzly, December 7, 2000

Football Coach Quits Amid Controversy • Field House Opening Postponed Until New Millennium • Ursinus\u27 Class of 2004 Survives Fall Semester • Finals Schedule • Holidays a Time for Giving at Ursinus • Islam Awareness Week Offers Cultural Insight • Students Experience Christmas in the Big Apple • Opinions: Campus Construction an Eyesore; UC Democrats Respond to Allegations; Grizzly a Success This Semester • First Annual Palooza a Poetic Success • Choir Angelic in Annual Coming of \u27Messiah\u27 • Hypnotist Anthony Entrances UC Students • Lady Bears Down, but not out • UC Swim Teams Suffer Defeat in Poolside Duels Against Archrivals • Wrestling Finishes 3rd at Invitational • Swarthmore Cuts Football, Wrestling, Badminton Programs • Pro Wrestlers Rumble on UC Campus • Barrett Breaks Scoring Record, Leads Bears to 3-2https://digitalcommons.ursinus.edu/grizzlynews/1481/thumbnail.jp

The Grizzly, October 5, 1999

Bears Clobber Swarthmore During Family Day Game • Family Day A Success • Admission Rumor Proves False • Sophomore Week Set • 811 Main Street • Forget MTV: Career Services Offering UC Seniors Opportunity to Star in Real World • Opinion: Stereotypes on Campus Affect and Hurt Everyone; Letter to the Editors • Ursinus Football Crushes Swarthmore in Centennial Conference Action, 59-0 • Volleyball wins Allentown Invit. and Family Day Tourney • Monumental Changes in UC Cheerleading • Soccer Splits for 1-1 on the Weekhttps://digitalcommons.ursinus.edu/grizzlynews/1447/thumbnail.jp

Mycoplasma non-coding RNA: identification of small RNAs and targets

Background: Bacterial non-coding RNAs act by base-pairing as regulatory elements in crucial biological processes. We performed the identification of trans-encoded small RNAs (sRNA) from the genomes of Mycoplama hyopneumoniae, Mycoplasma flocculare and Mycoplasma hyorhinis, which are Mycoplasma species that have been identified in the porcine respiratory system. Results: A total of 47, 15 and 11 putative sRNAs were predicted in M. hyopneumoniae, M. flocculare and M. hyorhinis, respectively. A comparative genomic analysis revealed the presence of species or lineage specific sRNA candidates. Furthermore, the expression profile of some M. hyopneumoniae sRNAs was determined by a reverse transcription amplification approach, in three different culture conditions. All tested sRNAs were transcribed in at least one condition. A detailed investigation revealed a differential expression profile for two M. hyopneumoniae sRNAs in response to oxidative and heat shock stress conditions, suggesting that their expression is influenced by environmental signals. Moreover, we analyzed sRNA-mRNA hybrids and accessed putative target genes for the novel sRNA candidates. The majority of the sRNAs showed interaction with multiple target genes, some of which could be linked to pathogenesis and cell homeostasis activity. Conclusion: This study contributes to our knowledge of Mycoplasma sRNAs and their response to environmental changes. Furthermore, the mRNA target prediction provides a perspective for the characterization and comprehension of the function of the sRNA regulatory mechanisms