When Mothers Go Wrong: Likely Neural Undercurrents Related to Poor Parenting

The mammalian model of survival begins with puzzling-out a simple but stark truth: Life must learn to care for life. We have described the experiences involved in changing from nulliparous female to mother, from unresponsive to committed. The transition taking place in the nervous system that underpins the shift from largely self-centered organism to other-focused caregiver is accompanied by an assortment of effects ranging from basic gene expression changes, to modifications of neuronal complexity and activity, to wholesale shifts in the size of specific brain structures. In total, the female changes in ways both subtle an

J/psi Production and Nuclear Effects for d+Au and p+p Collisions at sqrt(s_NN) = 200 GeV

J/psi production in d+Au and p+p collisions at sqrt(s_NN) = 200 GeV has been measured by the PHENIX experiment at rapidities -2.2 < y < +2.4. The cross sections and nuclear dependence of J/\psi production versus rapidity, transverse momentum, and centrality are obtained and compared to lower energy p+A results and to theoretical models. The observed nuclear dependence in d+Au collisions is found to be modest, suggesting that the absorption in the final state is weak and the shadowing of the gluon distributions is small and consistent with Dokshitzer-Gribov-Lipatov-Altarelli-Parisi-based parameterizations that fit deep-inelastic scattering and Drell-Yan data at lower energies.Comment: 331 authors, 6 pages text, 3 figures. Published in PRL. Version 2 has minor changes required during the review and production process. Of significant note are that (a) the original Figs. 3 and 4 are combined into a single Fig. 3 and (b) the value of (p_T)**2 at x_F=0 changed from 3.17+/-0.33 to 3.03+/-0.40. Plain text data tables for the points plotted in figures for this and previous PHENIX publications are publicly available at http://www.phenix.bnl.gov/papers.htm

The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement, Research, Training, and Practice

Academic medical centers (AMCs) could advance the science of health care delivery, improve patient safety and quality improvement, and enhance value, but many centers have fragmented efforts with little accountability. Johns Hopkins Medicine, the AMC under which the Johns Hopkins University School of Medicine and the Johns Hopkins Health System are organized, experienced similar challenges, with operational patient safety and quality leadership separate from safety and quality-related research efforts. To unite efforts and establish accountability, the Armstrong Institute for Patient Safety and Quality was created in 2011. The authors describe the development, purpose, governance, function, and challenges of the institute to help other AMCs replicate it and accelerate safety and quality improvement. The purpose is to partner with patients, their loved ones, and all interested parties to end preventable harm, continuously improve patient outcomes and experience, and eliminate waste in health care. A governance structure was created, with care mapped into seven categories, to oversee the quality and safety of all patients treated at a Johns Hopkins Medicine entity. The governance has a Patient Safety and Quality Board Committee that sets strategic goals, and the institute communicates these goals throughout the health system and supports personnel in meeting these goals. The institute is organized into 13 functional councils reflecting their behaviors and purpose. The institute works daily to build the capacity of clinicians trained in safety and quality through established programs, advance improvement science, and implement and evaluate interventions to improve the quality of care and safety of patients