Integrated Health Approaches to Pain Management and PTSD with Adolescent Gunshot-Wound Survivors

Integrative healthcare approaches are known to improve patient outcomes by delivering systematic and cost-effective approaches to care (Raney, 2015). Adolescents who survive gunshot wounds present to primary care for long term management with a complex constellation of physiological and psychological symptoms, and these youth require a systematic approach to their recovery. Collaboration between primary care providers and behavioral health providers allows for treatment of the whole person, including pain management, physical recovery, and psychological recovery. Furthermore, integrated care also yields benefits to providers such as professional support and education outside of their primary area of expertise. This case report highlights an integrated care approach between a pediatrician and a licensed clinical social worker, offering suggestions to maximize care under pain management recommendations

Biofilm Formation by Escherichia coli csgA and fimA mutants

Biofilms are a structured community of bacterial cells enclosed in a self-produced polymeric matrix and adherent to an inert or living surface. These structures and the organisms that cause them can pose a very serious problem if they colonize on medical devices. This is because biofilms have the ability to communicate within the colony and with other organisms that might attach to the surface, acting like a community working together. Biofilms allow the organism to be resistant to harsh and unfavorable conditions allowing them to survive longer and spread. Several genes in Escherichia coli (E. coli) have been associated with biofilm formation by that organism. Many of those genes encode surface appendages such as flagella, fimbriae, and pili. We created mutations in genes encoding curli (csgA) and fimbriae (fimA) with the aim of comparing their ability to form biofilms. The respective genes were selected on kanamycin- containing agar and disrupted with a kanamycin resistance gene. Biofilm formation in nutrient- rich medium and nutrient-poor medium is currently in progress, and the ability of the mutant E. coli strains to form biofilms will be compared with that of the parent wild type strain using a crystal violet microplate assay

Becoming a Change Agent: Residency as Pathway to Accomplished Teaching

A change agent is a person equipped to transform their environment meaningfully. This qualitative survey study examined the extent to which graduates of residency-based teacher education programs act as change agents across different stages of a career. The qualitative survey study used convenience sampling to gather data from 23 alumni of a full-year, graduate, residency-based teacher education program. Participants responded to questions aligned with the National Board for Professional Teaching Standards to determine how the residency program prepared graduates to be agents of change in their learning communities. Qualitative data was analyzed using a constant comparative method. Results indicated that alumni become agents of change, but this level of professionalism takes more than ten years to develop

Sociology Curriculum Map 2013-2014

This map displays degree requirements, courses, faculty information, clubs & organizations, and Library resources associated with sociology across the seven Claremont Colleges (7Cs) for the 2013-14 academic year. It was compiled using public information drawn from Colleges websites, course schedules and catalogs, and the Claremont Colleges Library website. This project was completed as part of an IMLS Sparks! Ignition grant in 2013-14

Utility of Surgeon-Performed Ultrasound Assessment of the Lateral Neck for Metastatic Papillary Thyroid Cancer

Ultrasound is the recommended staging modality for papillary thyroid cancer. Surgeons proficient in US assessment of the neck and experienced in the management of papillary thyroid cancer (PTC) appear uniquely qualified to assess the lateral cervical lymph nodes for metastatic disease. Of 310 patients treated for PTC between 2000 and 2008, 109 underwent surgeon-performed ultrasound (SUS) of the lateral neck preoperatively. Fine needle aspiration was performed on suspicious lateral lymph nodes. SUS findings were compared with FNA cytology and results of postoperative imaging studies. The sensitivity and negative predictive value of SUS were 88% and 97%, respectively. Four patients were found to have missed metastatic disease within 6 months. No patient underwent a nontherapeutic neck dissection. SUS combined with US-guided FNA of suspicious lymph nodes can accurately stage PTC to reliably direct surgical management

Effects of feedback on galaxies in the VELA simulations: elongation, clumps and compaction

The evolution of star-forming galaxies at high redshifts is very sensitive to the strength and nature of stellar feedback. Using two sets of cosmological, zoom-in simulations from the VELA suite, we compare the effects of two different models of feedback: with and without kinetic feedback. At a fixed halo mass and redshift, the stellar mass is reduced by a factor of 1-3 in the models with stronger feedback, so the stellar-mass-halo-mass relation is in better agreement with abundance matching results. On the other hand, galaxy elongation is robust against feedback strength. At a fixed stellar mass, Ms < 10^10 Msun, galaxies are more elongated in the strong-feedback case. More massive, star-forming discs with high surface densities form giant clumps. However, the population of round, compact, old (age_c > 300 Myr), quenched, stellar (or gas-poor) clumps is absent in the model with strong feedback. On the other hand, giant star-forming clumps with intermediate ages (age_c = 100-300 Myr) can survive for several disc dynamical times, independently of feedback strength. The evolution through compaction followed by quenching in the plane of central surface density and specific star-formation rate is similar under the two feedback models.Comment: 14 pages, 12 figures, submitted to MNRA

WHOI Hawaii Ocean Timeseries Station (WHOTS) : WHOTS-7 2010 mooring turnaround cruise report

The Woods Hole Oceanographic Institution (WHOI) Hawaii Ocean Timeseries (HOT) Site (WHOTS), 100 km north of Oahu, Hawaii, is intended to provide long-term, high-quality air-sea fluxes as a part of the NOAA Climate Observation Program. The WHOTS mooring also serves as a coordinated part of the HOT program, contributing to the goals of observing heat, fresh water and chemical fluxes at a site representative of the oligotrophic North Pacific Ocean. The approach is to maintain a surface mooring outfitted for meteorological and oceanographic measurements at a site near 22.75°N, 158°W by successive mooring turnarounds. These observations will be used to investigate air–sea interaction processes related to climate variability. This report documents recovery of the WHOTS-6 mooring and deployment of the seventh mooring (WHOTS-7). Both moorings used Surlyn foam buoys as the surface element and were outfitted with two Air–Sea Interaction Meteorology (ASIMET) systems. Each ASIMET system measures, records, and transmits via Argos satellite the surface meteorological variables necessary to compute air–sea fluxes of heat, moisture and momentum. The upper 155 m of the moorings were outfitted with oceanographic sensors for the measurement of temperature, conductivity and velocity in a cooperative effort with R. Lukas of the University of Hawaii. A pCO2 system was installed on the WHOTS-7 buoy in a cooperative effort with Chris Sabine at the Pacific Marine Environmental Laboratory. The WHOTS mooring turnaround was done on the University of Hawaii research vessel Kilo Moana, by the Upper Ocean Processes Group of the Woods Hole Oceanographic Institution. The cruise took place between 27 July and 4 August 2010. Operations began with deployment of the WHOTS-7 mooring on 28 July. This was followed by meteorological intercomparisons and CTDs. Recovery of WHOTS-6 took place on 2 Aug 2010. This report describes these cruise operations, as well as some of the in-port operations and pre-cruise buoy preparations.Funding was provided by the National Oceanic and Atmospheric Administration under Grant No. NA09OAR432012