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2016

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Territoriality And Spatial Structure In The Green Anole, Anolis Carolinensis, William D. Weber Jr. Dec 2016

Territoriality And Spatial Structure In The Green Anole, Anolis Carolinensis, William D. Weber Jr.

LSU New Orleans Theses and Dissertations

Anolis carolinensis has been a model organism for ecology and evolutionary biology since the seventies, yet there are still understudied aspects of their ecology. A five-year study has provided microsatellite genotypes to be used in building a pedigree and assess relatedness, enabling us to evaluate the spatial distribution of an urban population of A. carolinensis. Results indicate no correlation between a male’s size and the distance others keep from it; however, males belonging in the heavyweight morph are dictating the spatial distribution in this population. In addition, juvenile dispersal of male offspring and partial philopatry of female offspring are …


Parents' Perceptions Regarding The Special Education Classification Of Other Health Impairment (Ohi), Michael C. Norman Dec 2016

Parents' Perceptions Regarding The Special Education Classification Of Other Health Impairment (Ohi), Michael C. Norman

LSU New Orleans Theses and Dissertations

Students identified by the special education classification Other Health Impairment (OHI) represent the third largest group of students receiving special education services in the United States. The special education services offered these students include both academic and health related supports. The delivery of these services is enhanced when a partnership exits between the primary stakeholders; the student, parents, the school personnel, and the medical personnel. The use of Family Centered Care principles in the delivery of these services supports and maintains the partnership.

Following the qualitative analysis of a series of interviews of parents whose children were classified as OHI, …


Doctoring Undercover: Updating The Educational Tradition Of Shadowing, Claire D. Clark Dec 2016

Doctoring Undercover: Updating The Educational Tradition Of Shadowing, Claire D. Clark

Behavioral Science Faculty Publications

Background: Premedical students are educated in basic biological and health sciences. As a complement to traditional premedical coursework, medical school applicants are encouraged to shadow practitioners, with the hope that observation will introduce students to the culture and practice of healthcare. Yet the shadowing experience varies widely across practitioners and institutions; resources that guide students’ critical reflection and structure the experience are scarce.

Development: A pilot experiential learning course, Doctoring Undercover: Shadowing and the Culture of Medicine, was developed to fill this gap. The course consisted of three parts: an introduction to medical culture through the disciplines of medical sociology, …


The Effects Orthostatic Hypotension Has On Falls: A Study Done In San Francisco With The Patient Population Of The Veterans Affairs Hospital, Sherry A. Ballard Ms. Dec 2016

The Effects Orthostatic Hypotension Has On Falls: A Study Done In San Francisco With The Patient Population Of The Veterans Affairs Hospital, Sherry A. Ballard Ms.

Master's Projects and Capstones

The Effects Orthostatic Hypotension has on Falls: A Study Done in San Francisco Represented

Population of the Veterans Affairs Hoapital

The global AIM of this project is to Identify patients that are at risk for Orthostatic Hypotension (OH) with in the first 24 hours of addmission. It was identified that 50% of the falls over the last 4 quarters at the VA were OH related. The patients were not identified as a fall risk and over half of them had fallen multiple times. After performing a nursing survey online, a SWOT analysis, and a Root Cause Analysis using a fishbone …


Comparison Of Outcomes Following A Switch From A Brand To An Authorized Vs. Independent Generic Drug, Richard Hansen, Jingjing Qian, Richard L. Berg, James G. Linneman, Enrique Seoane-Vazquez, Sarah Dutcher, Saeid Raofi, C. David Page, Peggy L. Peissig Dec 2016

Comparison Of Outcomes Following A Switch From A Brand To An Authorized Vs. Independent Generic Drug, Richard Hansen, Jingjing Qian, Richard L. Berg, James G. Linneman, Enrique Seoane-Vazquez, Sarah Dutcher, Saeid Raofi, C. David Page, Peggy L. Peissig

Pharmacy Faculty Articles and Research

Authorized generics are identical in formulation to brand drugs, manufactured by the brand company but marketed as a generic. Generics, marketed by generic manufacturers, are required to demonstrate pharmaceutical and bioequivalence to the brand drug, but repetition of clinical trials is not required. This retrospective cohort study compared outcomes for generics and authorized generics, which serves as a generic vs. brand proxy that minimizes bias against generics. For the seven drugs studied between 1999-2014, 5,234 unique patients were on brand drug prior to generic entry and 4,900 (93.6%) switched to a generic. During the 12-months following the brand-to-generic switch, patients …


Target Validation And Pharmacological Characterization Of Novel Nmdar Modulators, Kiran Sapkota Dec 2016

Target Validation And Pharmacological Characterization Of Novel Nmdar Modulators, Kiran Sapkota

Theses & Dissertations

The N-methyl-D aspartate receptors (NMDARs) are ligand-gated ion channels, which play important roles in learning and memory. Excessive activity of NMDARs is implicated in damage due to stroke and neurodegenerative diseases, whereas hypoactivity of NMDARs contributes to schizophrenia. The initial goal of my dissertation is to evaluate the potential role of the GluN2D-containing NMDARs in neuropathological, behavioral and cognitive alterations associated with schizophrenia and characterize the pharmacology and mechanisms of action of NMDAR modulators which could potentially be used to modulate these receptors in schizophrenia.

A subanesthetic dose of the NMDAR antagonist ketamine elicits symptoms of schizophrenia. This property led …


Comment On “Sr-Nd Isotope Composition And Clay Mineral Assemblages In Eolian Dust From The Central Philippine Sea Over The Last 600kyr: Implications For The Transport Mechanism Of Asian Dust” By Seo Et Al., Zhaokai Xu, Tiegang Li, Peter D. Clift, Shiming Wan, Mingjiang Cai, Hongjin Chen Dec 2016

Comment On “Sr-Nd Isotope Composition And Clay Mineral Assemblages In Eolian Dust From The Central Philippine Sea Over The Last 600kyr: Implications For The Transport Mechanism Of Asian Dust” By Seo Et Al., Zhaokai Xu, Tiegang Li, Peter D. Clift, Shiming Wan, Mingjiang Cai, Hongjin Chen

Faculty Publications

No abstract provided.


Constraining Ribbon Rock Dolomitization By Mg Isotopes: Implications For The ‘Dolomite Problem’, Fang Bing Li, Fang Zhen Teng, Ji Tao Chen, Kang Jun Huang, Shui Jiong Wang, Xian Guo Lang, Hao Ran Ma, Yong Bo Peng, Bing Shen Dec 2016

Constraining Ribbon Rock Dolomitization By Mg Isotopes: Implications For The ‘Dolomite Problem’, Fang Bing Li, Fang Zhen Teng, Ji Tao Chen, Kang Jun Huang, Shui Jiong Wang, Xian Guo Lang, Hao Ran Ma, Yong Bo Peng, Bing Shen

Faculty Publications

© 2016 Elsevier B.V. Modern dolomite formation is conditional and restricted in specific environmental and geochemical conditions, accordingly cannot be used as the analog of ancient dolostones, which normally have platform-wide distribution. The key to understand ancient dolostone formation is to find a dolomitization process that is independent of physical/geochemical environments. It is well-known that ribbon rock (one type of calcareous rhythmites, sensu stricto referring to the alternating limestone and marlstone layers or the limestone-marl alternations) that are deposited in nearly all marine environments throughout the Earth's history, are exclusively, though normally partially, dolomitized. Thus, understanding ribbon rock dolomitization may …


Lactation Clinic: Improving Patient Lactation Support, Iana Johnson Dec 2016

Lactation Clinic: Improving Patient Lactation Support, Iana Johnson

Master's Projects and Capstones

Despite the numerous health benefits and recommendations that breastfeeding is the optimal method for nourishing infants, many still choose other ways to feed their babies during the first year of life. This project considers the initiation and future implementation of a Lactation Clinic as an additional patient support service provided in the inpatient and outpatient settings. A Failure Modes and Effects Analysis (FMEA) was conducted in an effort to evaluate and eliminate “what could go wrong” before such an establishment becomes operational. The Risk Priority Numbers (RPNs) from the analysis reveal the lack of use (RPN 50) and streamlining (RPN …


Minimizing The Inappropriate Use Of Physical Restraint, Shiela Marie C. Telmo Dec 2016

Minimizing The Inappropriate Use Of Physical Restraint, Shiela Marie C. Telmo

Master's Projects and Capstones

The aim of this project is to be able to improve patient safety by minimizing the inappropriate use of physical restraints from 45% to about 20% in the acute respiratory unit which caters to patients with acute respiratory issues, such as exacerbation of chronic obstructive pulmonary disease (COPD), patients with new or old tracheostomy, needing bipap, rigorous nebulizer treatment, and other respiratory-related devices, not to mention the multiple comorbidities that oftentimes very difficult to stabilize which makes the hospital stay longer than usual. The Clinical Nurse Leader (CNL) as an educator and an outcome manager is an agent to empower …


What Sweden Is Like, Riccardo Savini Dec 2016

What Sweden Is Like, Riccardo Savini

LSU New Orleans Theses and Dissertations

Collection of short stories set in Stockhol, Sweden. Themes are alienation, bi-culturalism, third culture kids nomadism, fitting in a differnet culture.


The New Normal? Climate Variability And Ecoviolence In Sub-Saharan Africa, Alfonso Sanchez Dec 2016

The New Normal? Climate Variability And Ecoviolence In Sub-Saharan Africa, Alfonso Sanchez

LSU New Orleans Theses and Dissertations

Climate change presents a wide range of concerns that can jeopardize international security. Among those concerns are neo-Malthusian worries of diminishing natural resources. Predictive models suggest that rainfall and temperature anomalies have the potential to reduce water basins, crop production, increase land degradation among other perils that threaten human security. This concern is particularly true in sub-Saharan Africa given the region’s strong dependence on rain-fed agriculture. Despite strong claims from various world leaders and scientists of a direct climate-conflict nexus, little empirical evidence has been devoted to find a systematic causal pathway of this kind. What is more, the literature …


“Down To The Last:” An Experiment In Comedy, Stunts, And Visual Effects, Margaret Ann Broach Dec 2016

“Down To The Last:” An Experiment In Comedy, Stunts, And Visual Effects, Margaret Ann Broach

LSU New Orleans Theses and Dissertations

This paper will cover the creation of my thesis film, “Down to the Last,” from concept to completion, with a special focus on writing a dark comedy with a strong female lead, and the desire to incorporate visual effects and stunts to enhance the overall story. Details of how my crew and I decided to approach the challenges of my script and vision will be fleshed out along with solutions to problems we faced during preproduction, principle photography, and postproduction. The outcome of the project is a combination of minute deviations from my initial vision and a minimization of visual …


Primer On Perspectives And Practices Of Trauma, Trevor P. Haase Dec 2016

Primer On Perspectives And Practices Of Trauma, Trevor P. Haase

Educational Specialist, 2009-2019

A large majority of the general population has endured at least one traumatic event in their lifetime and many will seek counseling services to process and resolve the impact from the traumatic experience. Counselors and mental health providers will likely encounter trauma survivors in a high frequency in the majority of therapeutic settings. Practicum and internship level counselors are often not prepared for navigating the complexities that arise working with trauma survivors. This paper outlines the various perspectives and practices of the works of Dr. Bessel van der Kolk, Narrative Therapy, and Trauma Focused-Cognitive Behavioral Therapy. These orientations were designed …


Variation In Female Mating Behavior And Success In The Damselfly, Calopteryx Maculata, Suzanne E. Allison Dec 2016

Variation In Female Mating Behavior And Success In The Damselfly, Calopteryx Maculata, Suzanne E. Allison

Masters Theses, 2010-2019

Traditionally, the study of sexual selection has focused on the evolution of elaborate male traits and how they enhance the ability to out-compete other males directly (access to females) and indirectly (access to desirable territories or resources). Female trait studies have focused most on evolved preferences for male traits. While we know much about how sexual selection acts on males, there is a deficit of equivalent study on females. In insects, including damselflies, male size and pigmentation are positively correlated with fat reserves and immune abilities, and therefore with male competitive ability. Here, we show that phenotypic variation that has …


Gender Inequity Within Public Accounting, Paige Petersen Dec 2016

Gender Inequity Within Public Accounting, Paige Petersen

Honors Thesis

Traditionally a male-dominated field, the public accounting industry has seen recent progress in the presence and advancement of women in the profession. Today, women comprise half of accounting students, Certified Public Accountant test-takers, and employees at public accounting firms. However, women in public accounting face an invisible barrier when it comes to reaching the level of partner, where they represent only nineteen percent of partners. Uneven distribution of female representation should be of concern to public accounting firms seeking to maximize the potential of their talent pool and gain the benefits of diverse leadership. Traditional viewpoints on this issue promote …


Geometric Phase Effects In The Ultracold D + Hd → D + Hd And D + Hd ← H + D2 Reactions, B. K. Kendrick, Jisha Hazra, Balakrishnan Naduvalath Dec 2016

Geometric Phase Effects In The Ultracold D + Hd → D + Hd And D + Hd ← H + D2 Reactions, B. K. Kendrick, Jisha Hazra, Balakrishnan Naduvalath

Chemistry and Biochemistry Faculty Research

The results of accurate quantum reactive scattering calculations for the D + HD(v = 4, j = 0) D + HD(v′,j′), D + HD(v = 4, j = 0) → H + D2( v′,j′) and H + D2(v = 4, j = 0) → D + HD(v′,j′) reactions are presented for collision energies between and . The ab initio BKMP2 PES for the ground electronic state of H3 is used and all values of total angular momentum between are included. The general vector potential approach is used to include the geometric phase. The rotationally resolved, vibrationally resolved, and total reaction …


Utilizing Pre-Education Assessment And A Targeted Education Module To Enhance Nurse Knowledge Of Standard And Transmissible Precautions, Deborah A. Ard Dec 2016

Utilizing Pre-Education Assessment And A Targeted Education Module To Enhance Nurse Knowledge Of Standard And Transmissible Precautions, Deborah A. Ard

Master's Projects and Capstones

Abstract

The aim of this project was to protect patient safety and prevent healthcare acquired infections by improving nurses’ knowledge of infection prevention practices. A second practical benefit was creating a pilot for an RN education program.

I propose that the reason compliance with hand hygiene is low at any facility can be explained by Rosenstock’s Health Belief Model. Nurses may not believe that 1) There is a high chance of spreading or themselves contracting infectious illness, 2) That the illnesses they are exposed to would be just as serious in them as they are seeing in patients, 3) They …


Improving Cal Nagpra: Honoring Native American Rights, Kim Turner Dec 2016

Improving Cal Nagpra: Honoring Native American Rights, Kim Turner

Master's Projects and Capstones

The California Native American Graves Protection and Repatriation Act (Cal NAGPRA) became state law in 2001. Its purpose was to create a process whereby California tribes could seek to repatriate human remains and objects from their cultural heritage from museums and custodial institutions. Cal NAGPRA includes a number of shortcomings that have impeded the ability of tribes to successfully reclaim objects from their heritage. The ethical implications of museums retaining cultural objects and human remains, often confiscated from Native peoples or their tribal lands, has been a principal social justice topic of USF’s museum studies program. This capstone describes a …


Hidden Museum: A Behind-The-Scenes Tour For Contemporary Audiences, Michael B. Glazier Dec 2016

Hidden Museum: A Behind-The-Scenes Tour For Contemporary Audiences, Michael B. Glazier

Master's Projects and Capstones

The mystery of what lies behind a museum’s closed doors has intrigued visitors and perpetuated museum mythology for decades. Whether it’s peeking into collections storage, or being guided through rooms off the exhibition floor, visitors want unique access to museum collections. This Master’s Capstone project investigates the topic of behind-the-scenes tours within museums, asks what they look like today, and how they will develop in the future. Using this research I have created a project proposal to film a behind-the-scenes tour that will solve questions of public visibility and collection access for a San Francisco area history museum. A successful …


Inside The Juvenile Justice System, Megan Phalon Dec 2016

Inside The Juvenile Justice System, Megan Phalon

Master's Projects and Capstones

The United States of America is known for freedom and integrity and being a nation that stands for justice and equality for all. Within the United States there are systems in place to better the people and communities in order to provide safety and order. However, just as any nation, there is a struggle with violent behavior and tendencies among adults and adolescents. Within the last three decades, the United States has created a correctional system that specifically targets adolescents, and that acknowledges the differences between adult and juvenile development and deviant behavior. Within this literature review, academic databases were …


Teaching Place: Heritage, Home And Community, The Heart Of Education, Judy Kay Lorenzen Dec 2016

Teaching Place: Heritage, Home And Community, The Heart Of Education, Judy Kay Lorenzen

Department of English: Dissertations, Theses, and Student Research

This dissertation examines the implementation of a Place-conscious pedagogy as a means to teach heritage and sense of place. This pedagogy is framed upon the premise that trying to understand our heritage and place—ourselves—are crucial elements in our ability to live well as individuals who are connected school/community members, who help our schools/communities thrive, becoming Place-conscious citizens. I argue that in teaching in such a culturally diverse community, tensions rise as immigration has become a main focus. Our school/community has experienced many ethnic groups with vast social differences for which Place-conscious education offers practical solutions. These students have a great …


Input Parameters In Discrete Element Modeling, Seyedali Yousefi Dec 2016

Input Parameters In Discrete Element Modeling, Seyedali Yousefi

Civil Engineering ETDs

The discrete element method (DEM) is employed to study complex behaviors of particulate media. Input parameters may greatly affect the response of DEM models and should therefore be selected carefully. Scaling techniques are employed to enlarge prohibitively small time-steps. To study these techniques, dimensionless input parameters were defined. Responses of models in the dimensionless scale were invariant with choice of density, elastic modulus, and characteristic length if the dimensionless parameters were kept constant. Hence, density scaling is equivalent to use of a higher strain-rate, and stiffness scaling results in a higher strain-rate and an elevated stress state in the dimensionless …


Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors., Lorraine Dugoff, Archana Pradhan, Petra Casey, John L. Dalrymple, Jodi F. Abbott, Samantha D. Buery-Joyner, Alice Chuang, Amie J. Cullimore, David A. Forstein, Brittany S== S. Hampton, Joseph M. Kaczmarczyk, Nadine T. Katz, Francis S. Nuthalapaty, Sarah M. Page-Ramsey, Abigail Wolf, Nancy A Hueppchen Dec 2016

Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors., Lorraine Dugoff, Archana Pradhan, Petra Casey, John L. Dalrymple, Jodi F. Abbott, Samantha D. Buery-Joyner, Alice Chuang, Amie J. Cullimore, David A. Forstein, Brittany S== S. Hampton, Joseph M. Kaczmarczyk, Nadine T. Katz, Francis S. Nuthalapaty, Sarah M. Page-Ramsey, Abigail Wolf, Nancy A Hueppchen

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational strategies …


Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors, Lorraine Dugoff, Archana Pradhan, Petra Casey, John L Dalrymple, Jodi F Abbott, Samantha D Buery-Joyner, Alice Chuang, Amie J Cullimore, David A Forstein, Brittany S Hampton, Joseph M. Kaczmarczyk, Nadine T Katz, Francis S Nuthalapaty, Sarah M Page-Ramsey, Abigail Wolf, Nancy A Hueppchen Dec 2016

Pelvic And Breast Examination Skills Curricula In United States Medical Schools: A Survey Of Obstetrics And Gynecology Clerkship Directors, Lorraine Dugoff, Archana Pradhan, Petra Casey, John L Dalrymple, Jodi F Abbott, Samantha D Buery-Joyner, Alice Chuang, Amie J Cullimore, David A Forstein, Brittany S Hampton, Joseph M. Kaczmarczyk, Nadine T Katz, Francis S Nuthalapaty, Sarah M Page-Ramsey, Abigail Wolf, Nancy A Hueppchen

PCOM Scholarly Works

BACKGROUND: Learning to perform pelvic and breast examinations produces anxiety for many medical students. Clerkship directors have long sought strategies to help students become comfortable with the sensitive nature of these examinations. Incorporating standardized patients, simulation and gynecologic teaching associates (GTAs) are approaches gaining widespread use. However, there is a paucity of literature guiding optimal approach and timing. Our primary objective was to survey obstetrics and gynecology (Ob/Gyn) clerkship directors regarding timing and methods for teaching and assessment of pelvic and breast examination skills in United States medical school curricula, and to assess clerkship director satisfaction with current educational strategies …


A Green Oasis: What Makes Community Gardens Worth Saving? While Researchers Amass Evidence Of Benefits, Advocates Develop New Strategy To Prove Their Value., Joel Wolfram Dec 2016

A Green Oasis: What Makes Community Gardens Worth Saving? While Researchers Amass Evidence Of Benefits, Advocates Develop New Strategy To Prove Their Value., Joel Wolfram

Capstones

Green Valley Community Garden in Brownsville, Brooklyn, is one of about a dozen gardens on land owned by the New York City Department of Housing Preservation and Development that are being uprooted by plans to build affordable housing. The gardeners are fighting back to prevent the garden’s destruction, saying that the food-producing green space is a source of healthy eating in a community with high rates of health problems, like diabetes and obesity. Researchers are attempting to tease out the public health benefits of community gardens as one metric of their value, but the science is still catching up with …


Increasing Patient Satisfaction And Decreasing Hospital Readmission Due To Deep Venous Thrombosis By Providing Anticoagulation Education For Orthopedic Patients, Margaret Gniewosz Dec 2016

Increasing Patient Satisfaction And Decreasing Hospital Readmission Due To Deep Venous Thrombosis By Providing Anticoagulation Education For Orthopedic Patients, Margaret Gniewosz

Master's Projects and Capstones

Abstract

Improving Process on Oral Anticoagulant Education for Orthopedic Patients

The aim of this project is to improve anticoagulation education for orthopedic patients to increase patient satisfaction. The microsystem for this project is a medical-surgical (MS), 50-bed unit in a medium size hospital. Because orthopedic patients are at high risk to develop DVT postoperatively, proper anticoagulants and anticoagulation education is an important aspect of patient care. By implementing a well-designed and easy-to-read patient handout on anticoagulants with instructional script for nurses will empower patients to achieve higher level of anticoagulant knowledge and in result, increase patient satisfaction. A preliminary round …


Jackson Creek Arts And Trails, Llc: Museum Travel Immersion Programs, Else C. Trygstad-Burke Dec 2016

Jackson Creek Arts And Trails, Llc: Museum Travel Immersion Programs, Else C. Trygstad-Burke

Master's Projects and Capstones

Museums have become increasingly oriented towards reaching new audiences, encouraging visitor loyalty, and informing the public about their overall relevance. Innovation in programming is a centerpiece of this effort, including a provision of programs for all age groups and demographics. At the same time that this transformation occurs in the museum world, similar changes are taking place in the leisure, travel and tourism industries. A continuously rapid increase in globalism and cultural access contributes to an atmosphere in which travelers can expand their goals and purposes within the context of a travel experience. This report will demonstrate that these trends …


Admission Handoff Between Emergency Department And Inpatient Units, Amanda A. Briones Dec 2016

Admission Handoff Between Emergency Department And Inpatient Units, Amanda A. Briones

Master's Projects and Capstones

When admitting a patient from the emergency department (ED) to an inpatient unit, a handoff report is conducted. There are many ways the ED nurse can go about delivering this report to the inpatient or floor nurse. Each ED nurse tends to this task in their own way, providing the information they deem important. Due to the absence of standardization, handoff reports have the ability to lack important information regarding the patient and can even lead to compromising the safety of the patient.

The purpose of this project was to gain a comprehensive understanding of the current handover process of …


Concerns About Justification For Fetal Genome Sequencing, Leslie Francis Dec 2016

Concerns About Justification For Fetal Genome Sequencing, Leslie Francis

Utah Law Faculty Scholarship

The proposal by Chen and Wasserman (2017) contributes to a long-standing debate about the scope of prenatal screening services. With realistic prospects of fetal genome-scale sequencing from noninvasive maternal blood sampling (NIPW), their framework is timely. However, we outline a number of concerns regarding this approach, ranging from the philosophical to the social and clinical. A key concern in this literature is that the framework lacks a clear philosophical foundation. Despite the long history of prenatal diagnosis (PND), a central question remains regarding the core justification for these services.