Lesson Plan For Teaching Four Stories Featuring Multi/Mixed Identities

Developed by a Swarthmore College student, Sierra Sweeney, with feedback from Professor Peter Schmidt, as a final assignment in English 71D, The Short Story in the U.S., fall 2018. Fiction as a genre is well known for its ability to discuss a wide range of topics in a way that is both entertaining and empathetic. But while fictional pieces, especially the short story, are famous for creating narratives that help readers understand experiences unlike their own and characters unlike themselves, I would argue that fiction can also serve as a medium of self- reflection. As someone who identifies as multi-ethnic and multi-racial, understanding my identity through literature has been both eye-opening and difficult. Multi authors and works of fiction do exist. But they are rarely discussed as widely or taught in a way that focuses purely on their multi and mixed themes. This lesson plan exists to suggest strategies that teachers and professors may use to help comprehensively teach multi and non-multi students about the complexities and tensions surrounding mixed identities.Target audience: high school and college and university teachers and their students

A Case of Unintentional Isopropanol Poisoning via Transdermal Absorption Delayed by Weekly Hemodialysis

BACKGROUND Isopropanol toxicity is the most common reported toxic alcohol ingestion in the United States and is well known to emergency physicians. Most toxicities result from unintentional ingestion of rubbing alcohol; however, an under-recognized mechanism of unintentional toxicity is transdermal absorption. Additionally, hemodialysis effectively removes isopropanol and its metabolites from circulation, so that in patients receiving regular hemodialysis, the manifestation of toxicity can be delayed. CASE REPORT A 67-year-old woman with end-stage renal disease secondary to insulin-dependent type II diabetes on once-weekly hemodialysis presented to the Emergency Department via the Emergency Medical Service with acute encephalopathy, severe hypoglycemia, and hypothermia. Her daughter found her confused and lethargic, smelling of acetone, and with a bottle of rubbing alcohol in her hand. The patient had been topically applying large quantities of rubbing alcohol for several months as a home remedy for cramps and adamantly denied any oral ingestion. She had missed several hemodialysis appointments over the previous month. Upon arrival, the patient was confused, profoundly hypoglycemic, and hypothermic. Additional laboratory examination revealed an elevated plasma osmolality, osmolar gap, isopropanol level, and acetone level. She was treated supportively with glucose-containing fluids and external warming and was admitted to the Intensive Care Unit. Hemodialysis was resumed, and the patient was discharged 3 days after admission with stable blood glucose, regular body temperature, and baseline mental status. CONCLUSIONS Our report is unique as it presents both an under-recognized mechanism of isopropanol toxicity (transdermal absorption) and an uncommon presentation of chronic exposure with manifestations of toxicity delayed by regular hemodialysis

The importance of Wrist Flexion and X-Factor in the Golf Swing :A Forward Kinematic Approach

This study aimed to investigate the importance of wrist flexion and trunk rotation relative to the pelvis about a vertical axis (X-factor) in the golf swing, through the use of kinematic simulation. Empirical data of 5 highly skilled golfers were collected using a 3D optoreflective system. A full body, 3D forward kinematic model was created that predicted the endpoint of the club to within 0.02 mm of the empirical data. X-factor rotation, then flexion of the wrist was locked at zero degrees throughout the downswing, with the effect on the kinematics of the club-head analysed. The results indicated that effective extension/flexion at the wrist is of great importance to performance with an average reduction of club-head velocity at impact of 46%, when wrist flexion is restricted during the downswing. Effective rotation of the trunk was also important to performance variables

WRIST KINEMATICS DURING THE GOLF DRIVE FROM A BILATERALLY ANATOMICAL PERSPECTIVE

Despite the reported importance of the wrist ‘un-cocking’ measure in the golf swing, only anecdotal evidence exists with respect to the three dimensional or bilateral nature of wrist motion. Through the downswing such anecdotal reports suggest that good players generally maintain a fixed flexion/extension position at the left (lead) wrist but perform rapid flexion at the right (trail) wrist. To assess these anecdotal assertions, 3D wrist kinematics of 8 skilled male golfers were determined during a high velocity golf drive. Each participant used their preferred driver, with data recorded using a Vicon 3D optoreflective system operating at 400 Hz. The results support anecdotal recommendations with respect to the large extent of right wrist flexion. However, all players underwent a considerable amount of left wrist flexion, which was in contrast to common coaching recommendations

Implementing social health insurance in Ireland: Report of a meeting and workshop held in Dublin, on December 6th 2010

We considered two basic questions, 'Is it possible to implement Social Health Insurance in Ireland?', and 'How can this be done?'. Can Social Health Insurance be implemented in Ireland? Our answer is a very definite yes. Furthermore, there would be many opportunities, while working towards this end, to improve the performance of our health care system. How can it be implemented? This process will need to be actively managed. There are many difficulties in the Irish health services, but also many opportunities. The greatest strengths are the talented, well-trained and very committed staff. Getting and keeping the support of these staff, for the necessary changes in service delivery, will be critical. Ireland has the capacity to make these changes, but without high quality management, a detailed focussed plan for change, and political support, little will happen. Each step in the change needs to be planned to maintain services, improve service delivery, improve service accountability, and improve service governance. Each sector of the service will need someone to lead the change, and mind that service during the change. Primary care remains under-developed. The HSE plan to develop primary care teams (PCT) has not succeeded. There are several established PCTs which work well. In other areas there are informal arrangements for collaboration, which work well. Overall, there are many useful lessons to learn from the experience so far. Future developments will need to place general practice at the centre of primary care. The mechanisms for doing this will vary from place to place, but need to be developed urgently. Acute hospitals face a crisis of governance. Maurice Hayes' (1) recent report on Tallaght hospital gives an idea of the scale of the changes needed. Tallaght is, we believe, not atypical, and is reputed to be by no means the worst governed hospital in the system. This, alone, should provide a pressing motive for change. Redesigning Irish hospitals to a new mission of supporting primary care, of supporting care in the community where possible can, and must, be done. Long-term care for older people is also a challenge. We advise moving to an integrated needs based system with smooth transitions between different degrees of support at home, and different degrees of support in specialized housing facilities including nursing homes. A similar model should apply to other forms of long-term care, for example for people with a substantial disability. Information systems and management processes both need a major overhaul. The health service remains strikingly under-managed, and fixing this will need a substantial culture change within the services. Wide use of standardized formal project management processes will be vital. There is a separate plan being developed to improve health service IT systems, and implementing this needs to be a high priority. We have not considered other key sectors, for example mental health, disability services, and social services. This does not mean that these are unimportant, merely that we had limited time, and a great deal to cover

An application of HOMER and ACMANT for homogenising monthly precipitation records in Ireland.

Climate change studies based only on raw long-term data are potentially flawed due to the many breaks introduced from non-climatic sources, consequently quality controlled and homogenised climate data is desirable for basing climate related decision making on. Seasonal cycles of precipitation in Ireland and the UK are projected to become more marked as the climate changes, and regional extremes in summer dry spells and winter precipitation have been recorded in recent years. Therefore to analyse and monitor the evolution of precipitation patterns across Ireland, quality controlled and homogenous climate series are needed

An application of HOMER and ACMANT for homogenising monthly precipitation records in Ireland.

Climate change studies based only on raw long-term data are potentially flawed due to the many breaks introduced from non-climatic sources, consequently quality controlled and homogenised climate data is desirable for basing climate related decision making on. Seasonal cycles of precipitation in Ireland and the UK are projected to become more marked as the climate changes, and regional extremes in summer dry spells and winter precipitation have been recorded in recent years. Therefore to analyse and monitor the evolution of precipitation patterns across Ireland, quality controlled and homogenous climate series are needed