Nurses Alumni Association Bulletin, Fall 1997

1997-1998 Meeting Dates Calendar 1998 Annual Luncheon-Meeting Notice Officers and Committee Chairs Bulletin Publication Committee 1997-1998 Meeting Dates Calendar The President\u27s Message Treasurer\u27s Report Trivia and News About Our Graduates Highlights of 1997 Keeping Kids Healthy After Hours Scholarship Funds At Work Tribute to Tanya Medical Mission Outreach 1996 History Of The Jefferson Pin Facts Not Fiction Rib Ticklers Mama Will Protect Me Happy Birthday Fiftieth Anniversary Resume of Minutes of Alumni Association Meetings Alumni Office News Committee Reports Bulletin By-Laws Development Diploma School of Nursing Alumni Association-Mabel C. Prevost Scholarship Fund Nominating Relief Fund Satellite Social Scholarship Luncheon Photos In Memoriam, Names of Deceased Graduates Class News Certification Reimbursement Application Relief Fund Application Scholarship Fund Application Pins, Transcripts, Class Address List, Change of Address Forms Campus Ma

The relationship of individual comorbid chronic conditions to diabetes care quality.

ObjectiveMultimorbidity affects 26 million persons with diabetes, and care for comorbid chronic conditions may impact diabetes care quality. The aim of this study was to determine which chronic conditions were related to lack of achievement or achievement of diabetes care quality goals to determine potential targets for future interventions.Research design and methodsThis is an exploratory retrospective analysis of electronic health record data for 23 430 adults, aged 18-75, with diabetes who were seen at seven Midwestern US health systems. The main outcome measures were achievement of six diabetes quality metrics in the reporting year, 2011 (glycated haemoglobin (HbA1c) control and testing, low-density lipoprotein control and testing, blood pressure control, kidney testing). Explanatory variables were 62 chronic condition indicators. Analyses were adjusted for baseline patient sociodemographic and healthcare utilization factors.ResultsThe 62 chronic conditions varied in their relationships to diabetes care goal achievement for specific care goals. Congestive heart failure was related to lack of achievement of cholesterol management goals. Obesity was related to lack of HbA1c and BP control. Mental health conditions were related to both lack of achievement and achievement of different care goals. Three conditions were related to lack of cholesterol testing, including congestive heart failure and substance-use disorders. Of 17 conditions related to achieving control goals, 16 were related to achieving HbA1c control. One-half of the comorbid conditions did not predict diabetes care quality.ConclusionsFuture interventions could target patients at risk for not achieving diabetes care for specific care goals based on their individual comorbidities

Learning Experiences of Social Science Students in an Interdisciplinary Computing Minor

The rapid growth of the digital economy and an associated increase in user-generated data has created a strong need for interdisciplinary computing professionals possessing both technical skills and knowledge of human behavior. To help meet this need and with funds from NSF IUSE, we developed an academic minor in Applied Computing for Behavioral and Social Sciences at San Jose State University. The minor involves a four-course sequence that includes programming fundamentals, data structures and algorithms, data cleaning and management, and a culminating project. At our institution and nationwide, social science students are more diverse than engineering students, with respect to gender, race, and ethnicity. By providing social science students with computing skills that complement their domain expertise, we aim to expand their career options and address the nation\u27s need for a diverse, technology-capable workforce. We administered an exit survey on student learning experiences to two cohorts of students completing the minor. Given that the minor is new and that the first cohorts were relatively small, the number of students completing the survey was modest (n = 15). Results indicate that students were motivated to minor in Applied Computing by a desire to improve their data analysis skills and better prepare themselves for the job market/graduate school, as well as a belief that programming is a necessary skill for the future. A large majority of students indicated that their peers, instructors, and homework assignments supported their learning very well, whereas they found topics covered and course projects to be less supportive, followed by pacing of course content. With respect to career plans, a majority of students agreed that the minor provided them with their desired skills and allowed them to learn about careers in applied computing, and a large majority indicated that they planned to pursue a career utilizing applied computing. They expressed interest in fields such as human factors, data analytics, project management, teaching, clinical psychology, and various types of research. Finally, common themes that arose when providing advice to future students included not being shy in seeking help, tips for managing the level of course difficulty, encouragement to regularly practice, suggestions for how to master course content, and advice for adopting a successful mindset. These results will be instrumental in helping to optimize students\u27 experiences in the minor, ranging from how we recruit new students to how we can better support their professional development. Given the largely positive experiences of our students and their plans to pursue careers involving applied computing, we believe that our approach of adding computing education alongside a social science degree demonstrates a promising model for meeting the increasing demand for diverse interdisciplinary computing workers in this digital age

Chandra X-ray Observations of 12 Millisecond Pulsars in the Globular Cluster M28

We present a Chandra X-ray Observatory investigation of the millisecond pulsars (MSPs) in the globular cluster M28 (NGC 6626). In what is one of the deepest X-ray observations of a globular cluster, we firmly detect seven and possibly detect two of the twelve known M28 pulsars. With the exception of PSRs B1821-24 and J1824-2452H, the detected pulsars have relatively soft spectra, with X-ray luminosities 10^30-31 ergs s^-1 (0.3-8 keV),similar to most "recycled" pulsars in 47 Tucanae and the field of the Galaxy, implying thermal emission from the pulsar magnetic polar caps. We present the most detailed X-ray spectrum to date of the energetic PSR B1821-24. It is well described by a purely non-thermal spectrum with spectral photon index 1.23 and luminosity 1.4x10^33Theta(D/5.5 kpc)^2 ergs s^-1 (0.3-8 keV), where Theta is the fraction of the sky covered by the X-ray emission beam(s). We find no evidence for the previously reported line emission feature around 3.3 keV, most likely as a consequence of improvements in instrument calibration. The X-ray spectrum and pulse profile of PSR B1821--24 suggest that the bulk of unpulsed emission from this pulsar is not of thermal origin, and is likely due to low-level non-thermal magnetospheric radiation, an unresolved pulsar wind nebula, and/or small-angle scattering of the pulsed X-rays by interstellar dust grains. The peculiar binary PSR J1824-2452H shows a relatively hard X-ray spectrum and possible variability at the binary period, indicative of an intrabinary shock formed by interaction between the relativistic pulsar wind and matter from its non-degenerate companion star.Comment: 9 pages, 6 figures. Accepted for publication in the Astophysical Journa

Haploinsufficient Bmp4 ocular phenotypes include anterior segment dysgenesis with elevated intraocular pressure

BACKGROUND: Glaucoma is a blinding disease usually associated with high intraocular pressure (IOP). In some families, abnormal anterior segment development contributes to glaucoma. The genes causing anterior segment dysgenesis and glaucoma in most of these families are not identified and the affected developmental processes are poorly understood. Bone morphogenetic proteins (BMPs) participate in various developmental processes. We tested the importance of Bmp4 gene dosage for ocular development and developmental glaucoma. RESULTS: Bmp4(+/-) mice have anterior segment abnormalities including malformed, absent or blocked trabecular meshwork and Schlemm's canal drainage structures. Mice with severe drainage structure abnormalities, over 80% or more of their angle's extent, have elevated IOP. The penetrance and severity of abnormalities is strongly influenced by genetic background, being most severe on the C57BL/6J background and absent on some other backgrounds. On the C57BL/6J background there is also persistence of the hyaloid vasculature, diminished numbers of inner retinal cells, and absence of the optic nerve. CONCLUSIONS: We demonstrate that heterozygous deficiency of BMP4 results in anterior segment dysgenesis and elevated IOP. The abnormalities are similar to those in human patients with developmental glaucoma. Thus, BMP4 is a strong candidate to contribute to Axenfeld-Rieger anomaly and other developmental conditions associated with human glaucoma. BMP4 also participates in posterior segment development and wild-type levels are usually critical for optic nerve development on the C57BL/6J background. Bmp4(+/-) mice are useful for studying various components of ocular development, and may allow identification of strain specific modifiers affecting a variety of ocular phenotypes