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The Intensivist, Ed Marchan, Jack Jallo, Fred Rincon, Matthew Vibbert

JHN Journal

The intensivist is the primary care physician of the ICU. Critically ill patients often have multiple acute and chronic illnesses requiring the careful integration of information and recommendations from multiple consultants. In addition to acting as a physician, intensivists commonly are administrators of an ICU. In 1992, the Society of Critical Care Medicine1 published its guidelines for the definition of an intensivist and the intensivist’s role in an ICU (Table 1).

The Forum (Volume 40, Number 4), Valparaiso University School Of Law

Valparaiso Law School Forum

No abstract provided.

Awards & Recognition Committee Report

NASIG Newsletter

No abstract provided.

47th Conference On Senior Engineering Design, College Of Engineering And Applied Sciences

Senior Engineering Design Conference

The 47th Conference on Senior Engineering Design Projects was held on December 7, 2010 at the College of Engineering and applied Sciences on the Parkview Campus of Western Michigan University. The college sponsors the conference to showcase the work of its graduating seniors, who are required to complete a capstone project that puts into practice what they have learned. Many of the projects are sponsored by business and industry.

Pekaresque Adventures: Aesthetics And Identity In "American Splendor", Tim Madigan

Verbum

In lieu of an abstract, below is the essay's first paragraph.

"When considering the ontological status of the comic book, it was once natural to think of superheroes battling all-powerful villains, Archie and Jughead battling wits with Principal Weatherbee, or Bugs Bunny and Porky Pig battling Elmer J. Fudd in the forest. In short, the assumption was that comic books were kids‘ stuff, and not to be taken seriously by world-weary adults. Much has changed in the last 20 or so years, with the rise of the so-called graphic novel, but many of these – including such seminal works as …

Sagestep News, Winter 2010, No. 11, Sagestep

Newsletters

Seasonal newsletter of SageSTEP.

Creating Tomorrow, Fall 2010, College Of Engineering

College of Engineering Magazines

Annual magazine of the College of Engineering at Utah State University.

A Pioneer Of Urologic Surgery From A Small Town In Ontario, Canada: A Tribute To Abraham Groves (1847-1935)., Yves Caumartin, Vivian Mcalister, Patrick Luke

Data and Test Instruments

Background: Abraham Groves worked as a general practitioner and surgeon in the small town of Fergus, Ontario, Canada. Several priority claims have been attributed to Groves’ life in surgery, including aseptic surgery (1874), appendectomy (1883) and the use of surgical gloves (1885). He was also an early practitioner of urological surgery. Objective: The purpose of this paper is to describe and objectively assess his contributions as a pioneer in urological surgery. Methods: A systematic search of contemporary journals was made for articles by or about Groves. These articles and his 1934 autobiography were reviewed. The information was assessed not only …

Business Associations, Paul A. Quirós, Lynn S. Scott

Mercer Law Review

This Article surveys noteworthy cases in the areas of corporate, limited liability company, partnership, and agency law decided between June 1, 2009 and May 31, 2010 by the Georgia Supreme Court, the Georgia Court of Appeals, the United States Court of Appeals for the Eleventh Circuit, and the United States district courts located in Georgia. In addition to surveying decisions by Georgia courts and federal courts located in Georgia, this Article discusses an important decision by the Supreme Court of the United States.

Evaluating The Effect Of A Television Public Service Announcement About Epilepsy, Alexandra L.C. Martiniuk, Mary Secco, Laura Yake, Kathy N. Speechley

Paediatrics Publications

Public service announcements (PSAs) are non-commercial advertisements aiming to improve knowledge, attitudes and/or behavior. No evaluations of epilepsy PSAs exist. This study sought to evaluate a televised PSA showing first aid for a seizure. A multilevel regression analysis was used to determine the effect of the PSA on epilepsy knowledge and attitudes taking into account school-level clustering as well as individual-level variables, including socioeconomic status, gender, language and familiarity with epilepsy. Of the 803 randomly selected Grade 5 (9-11 years) students, 406 (51%) had seen the epilepsy PSA. Those who saw the PSA scored significantly higher on knowledge (P < 0.001) and had more positive attitudes (P < 0.001) about epilepsy. Those who saw the PSA had even greater knowledge about epilepsy 1 month later, even though the PSA was no longer being televised. Having viewed, the PSA continued to be associated with higher knowledge and more positive attitudes independent of the effects of a school-based epilepsy education program. © The Author 2010. Published by Oxford University Press. All rights reserved.

Peroxisome Proliferator-Activated Receptor -Β/Δ, -Γ Agonists And Resveratrol Modulate Hypoxia Induced Changes In Nuclear Receptor Activators Of Muscle Oxidative Metabolism, Timothy R.H. Regnault, Lin Zhao, Jacky S.S. Chiu, Stephanie K. Gottheil, Allison Foran, Siu Pok Yee

Paediatrics Publications

PPAR-α, PPAR-β, and PPAR-γ, and RXR in conjunction with PGC-1α and SIRT1, activate oxidative metabolism genes determining insulin sensitivity. In utero, hypoxia is commonly observed in Intrauterine Growth Restriction (IUGR), and reduced insulin sensitivity is often observed in these infants as adults. We sought to investigate how changes in oxygen tension might directly impact muscle PPAR regulation of oxidative genes. Following eight days in culture at 1 oxygen, C2C12 muscle myoblasts displayed a reduction of PGC-1α, PPAR-α, and RXR-α mRNA, as well as CPT-1b and UCP-2 mRNA. SIRT1 and PGC-1α protein was reduced, and PPAR-γ protein increased. The addition of …

Sympathetic Neural Activation: An Ordered Affair, Craig D. Steinback, Aryan Salmanpour, Toni Breskovic, Zeljko Dujic, J. Kevin Shoemaker

Paediatrics Publications

Is there an ordered pattern in the recruitment of postganglionic sympathetic neurones? Using new multi-unit action potential detection and analysis techniques we sought to determine whether the activation of sympathetic vasomotor neurones during stress is governed by the size principle of recruitment. Multi-unit postganglionic sympathetic activity (fibular nerve) was collected from five male subjects at rest and during periods of elevated sympathetic stress (end-inspiratory apnoeas; 178 ± 37 s(mean ± S.D.)). Compared to baseline (0.24 ± 0.04 V), periods of elevated stress resulted in augmented sympathetic burst size (1.34 ± 0.38 V, P < 0.05). Increased burst size was directly related to both the number of action potentials within a multi-unit burst of postganglionic sympathetic activity (r= 0.88 ± 0.04, P < 0.001 in all subjects), and the amplitude of detected action potentials (r= 0.88 ± 0.06, P < 0.001 in all subjects). The recruitment of larger, otherwise silent, neurons accounted for approximately 74% of the increase in detected action potentials across burst sizes. Further, action potential conduction velocities (inverse of latencies) were increased as a function of action potential size (R2= 0.936, P= 0.001). As axon diameter is positively correlated with action potential size and conduction velocity, these data suggest that the principle of ordered recruitment based on neuronal size applies to postganglionic sympathetic vasomotor neurones. This information may be pertinent to our understanding of reflex-specific recruitment strategies in postganglionic sympathetic nerves, patterns of vasomotor control during stress, and the malleability of sympathetic neuronal properties and recruitment in health and disease.The sympathetic nervous system is an important controller of blood pressure and blood flow to critical tissues and organs. In other neural systems (e.g. the skeletal motor system) there is a well understood pattern of neural recruitment during activation. Alternatively, our understanding of how sympathetic neurones are coordinated during stress is limited. We demonstrate that during stress otherwise silent sympathetic neurones are activated in an order based on neuronal size (from smallest to largest). This recruitment pattern is similar to what is known in other neural systems. This information has important implications for how blood pressure and blood flow are controlled, and the malleability of sympathetic activation in health and disease. © 2010 The Authors. Journal compilation © 2010 The Physiological Society.

The Dopamine D2 Receptor Gene And Depressive And Anxious Symptoms In Childhood: Associations And Evidence For Gene-Environment Correlation And Gene-Environment Interaction, Elizabeth P. Hayden, Daniel N. Klein, Lea R. Dougherty, Thomas M. Olino, Rebecca S. Laptook, Margaret W. Dyson, Sara J. Bufferd, C. Emily Durbin, Haroon I. Comardelle, Sinead Currie, Caitlin Denton, Cheryce L. Harrison, Tayla Lamerton, Gabriela P. Mena, Lisa Moran, Michelle Mottola, Taniya S. Nagpal, Lisa Vincze, Stephanie Schoeppe

Paediatrics Publications

ObjectiveS: Research implicates the A1 allele of the dopamine D2 receptor gene (DRD2) Taq1A polymorphism in the development of depression and anxiety. Furthermore, recent papers suggest that children with A1 allele of this gene may receive less positive parenting, and that the effects of this gene on child symptoms may be moderated by parenting. We sought to replicate and extend these findings using behavioral measures in a nonclinical sample of young children. Methods: In a sample of 473 preschool-aged children and their mothers, structured clinical interview measures and maternal reports of child symptoms were collected, and standardized observations of parent-child …

Β-Cell-Specific Pyruvate Dehydrogenase Deficiency Impairs Glucose-Stimulated Insulin Secretion, Malathi Srinivasan, Cheol S. Choi, Pushpankur Ghoshal, Lioudmila Pliss, Jignesh D. Pandya, David Hill, Gary Cline, Mulchand S. Patel

Paediatrics Publications

Glucose-stimulated insulin secretion (GSIS) by β-cells requires the generation of ATP from oxidation of pyruvate as well as generation of coupling factors involving three different pyruvate cycling shuttles. The roles of several key enzymes involved in pyruvate cycling in β-cells have been documented using isolated islets and β-cell clonal lines. To investigate the role of the pyruvate dehydrogenase (PDH) complex (PDC) in GSIS, a murine model of β-cell-specific PDH deficiency (β-PDHKO) was created. Pancreatic insulin content was decreased in 1-day-old β-PDHKO male pups and adult male mice. The plasma insulin levels were decreased and blood glucose levels increased in β-PDHKO …

Imaging Of Lung Function Using Hyperpolarized Helium-3 Magnetic Resonance Imaging: Review Of Current And Emerging Translational Methods And Applications, Sean Fain, Mark L Schiebler, David G Mccormack, Grace Parraga

Medical Biophysics Publications

During the past several years there has been extensive development and application of hyperpolarized helium-3 (HP (3)He) magnetic resonance imaging (MRI) in clinical respiratory indications such as asthma, chronic obstructive pulmonary disease, cystic fibrosis, radiation-induced lung injury, and transplantation. This review focuses on the state-of-the-art of HP (3)He MRI and its application to clinical pulmonary research. This is not an overview of the physics of the method, as this topic has been covered previously. We focus here on the potential of this imaging method and its challenges in demonstrating new types of information that has the potential to influence clinical …

Deaf Catholic Newsletter, Winter-Advent 2010

Deaf Catholic Newsletter

A newsletter published for Deaf Catholics in Philapelphia, PA

Deaf Catholic Newsletter Finding Aid

Report Of The Federal Interagency, Devils Lake Working Group

United States Army Corps of Engineers, Omaha District

The Devils Lake, North Dakota, region has experienced a dramatic wet cycle since 1992 that has caused the lake level to rise nearly 30 feet. The resulting flooding has negatively impacted the residents, infrastructure, and communities in the region. Additional flooding could pose an unacceptable risk of an uncontrolled overflow that could cause catastrophic flooding downstream. This report presents the results of an intensive Federal interagency effort that was initiated to assess the status of the efforts of each major Federal agency actively addressing the flooding in the area of Devils Lake and options for additional near-term actions within existing …

A New Troodontid Theropod Dinosaur From The Lower Cretaceous Of Utah, Phil Senter, James I. Kirkland, John Bird, Jeff A. Bartlett

College of Health, Science, and Technology

Background: The theropod dinosaur family Troodontidae is known from the Upper Jurassic, Lower Cretaceous, and Upper Cretaceous of Asia and from the Upper Jurassic and Upper Cretaceous of North America. Before now no undisputed troodontids from North America have been reported from the Early Cretaceous. Methodology/Principal Findings: Herein we describe a theropod maxilla from the Lower Cretaceous Cedar Mountain Formation of Utah and perform a phylogenetic analysis to determine its phylogenetic position. The specimen is distinctive enough to assign to a new genus and species, Geminiraptor suarezarum. Phylogenetic analysis places G. suarezarum within Troodontidae in an unresolved polytomy with Mei, …

The Impact Of Acculturation On Self-Reported Measures Of Self-Efficacy With International Counseling Students, Jonathan Leggett

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to investigate how acculturation strategies relate to self-reported ratings of self-efficacy for international counseling students. Acculturation strategy usage may provide an important insight into the self-efficacy estimates of international students. Forty-three participants were recruited via e-mail from counseling programs within the United States. Participants were briefly instructed regarding the online completion of a demographic questionnaire, the Abbreviated Multidimensional Acculturation Scale ([AMAS-ZABB] Zea, Asner-Self, Birman, & Buki, 2003), and the Counseling Self-Estimate Inventory ([COSE] Larson et al., 1992). Thirty-four participants completed the AMAS-ZABB and thirty-one participants completed the COSE. Findings revealed the most common acculturation …

Proposed Hsc Governance, John Trotter

Faculty Senate Documents

The various components of the Health Sciences Center have been rapidly changing and growing and will continue to grow due to the increasing population and our expanding duties to the people of the state. Our current administrative structures will not be sufficient to carry us into the future.

Unopa Notes, Volume 49, Issue 4, December 2010

UNOPA: Newsletters

FLOYD S. OLDT AWARDS 2

GIVING TREE UPDATE 3

THANK YOU! 3

NOMINATIONS NEEDED 3

7 STEPS TO HEALTHY YOU 4

SAVE THE DATES 4

TECHNOLOGY TIPS & SECURITY 5

UAAD WORKSHOP 5

Olfactory Mate Choice And Potential Chemical Signals Of The White-Throated Sparrow (Zonotrichia Albicollis), Peter Sebastian

All-Inclusive List of Electronic Theses and Dissertations

Chemical odor signals are well documented in mammals, and yet almost nothing is known about the use of chemical odor signals in birds due to the traditional view that birds have a no sense or a poor sense of smell. Recent studies have revealed the traditional view to be unfounded, but more work is necessary to 1) expand our knowledge of avian olfaction in passerine species and 2) determine whether birds utilize chemical signals. The aim of this thesis was to 1) test for olfactory-based choice in a passerine species, and examine the chemical composition of preen oil for potential …

Winona Currents Magazine, University Advancement - Winona State University

Winona Currents

This magazine published by Winona State University’s University Advancement was intended to inform WSU Alumni, students, faculty, staff and the greater community about Alumni and the university.Major Buzz, Grand Tour, Satellite View.

Ensuring So Grave A Choice Is Well Informed: The Use Of Abortion Informed Consent Laws To Promote State Interests In Unborn Life, Kaitlin Moredock

Notre Dame Law Review

No abstract provided.

Rotunda-Vol 89, No 12-Dec 01, 2010, Longwood University

Rotunda

No abstract provided.

Evaluation Of Periodontal Scaling Task And Development Of Force–Endurance Models For Simulated Scaling Task, Vettrivel Gnaneswaran

Department of Industrial and Management Systems Engineering: Dissertations, Theses, and Student Research

Force exertion is critical in grasping and holding activities at sub-maximal levels. Exertion misjudgments lead to musculoskeletal disorders (MSDs) impairing performance and productivity. Published literatures on grasping have addressed the force balance and endurance issues for non-prehensile movements of hand. However, little information is available on the force exerted in precision gripping employed in health care. Professionals, especially dental hygienists, when treating patients adopt awkward postures for extended period leading to cumulative trauma. Literatures on cumulative trauma have identified force exertion to be an important risk factor. Lack of information on fatigue with precision gripping motivated this research to establish …

A Government Lawyer’S Liability Under Bivens, Marc Stepper

Cornell Journal of Law and Public Policy

No abstract provided.

Trespassory Art, Randall Bezanson, Andrew Finkelman

University of Michigan Journal of Law Reform

The history of art is replete with examples of artists who have broken from existing conventions and genres, redefining the meaning of art and its function in society. Our interest is in emerging forms of art that trespass-occupy space, place, and time as part of their aesthetic identity. These new forms of art, which we call trespassory art, are creatures of a movement that seeks to appropriate cultural norms and cultural signals, reinterpreting them to create new meaning. Marcel DuChamp produced such a result when, in the early twentieth century, he took a urinal, signed it, titled it Fountain, and …

A Fall From Grace: United States V. W. R. Grace And The Need For Criminal Discovery Reform, Beth Brennan, Andrew King-Ries

Cornell Journal of Law and Public Policy

No abstract provided.

There Be No Shelter Here: Anti-Immigrant Housing Ordinances And Comprehensive Reform, Daniel Edwardo Guzman

Cornell Journal of Law and Public Policy

No abstract provided.