scholarly journals A veterinary and nursing collaboration to increase access to healthcare

2021 ◽  
Vol 12 (3) ◽  
pp. 84
Author(s):  
Shuzhen Chee ◽  
Sarah Rivera ◽  
Aaron Algren Huntley ◽  
Lauren Lundahl ◽  
Claire Bocage ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Interprofessional Collaboration ◽  
University Of Pennsylvania ◽  
Health Clinic ◽  
Black Communities ◽  
Marginalized Communities ◽  
Schools Of Nursing ◽  
The Us ◽  
The University

Hypertension is associated with almost 25% of US deaths. Philadelphia has the highest prevalence of hypertension of the 6 largest cities in the US, predominantly in non-Hispanic Black communities. Social determinants of health (SDOH) contribute to the development of hypertension and limit access to preventative resources and treatment. This case study describes an interprofessional collaboration between the University of Pennsylvania Schools of Nursing and Veterinary Medicine to offer blood pressure screenings at the annual MLK Day of Service Wellness and Vaccination Clinic. Clients were approached for blood pressure screenings and health education. Sixty-seven clients (48.2%), largely from zip codes with high levels of hypertension, agreed to blood pressure screening; 45 (67.2%) clients were hypertensive. Our One Health clinic could be a model to reach residents in marginalized communities.

scholarly journals Resecting the Dominant Lesion: Patient Outcomes after Surgery and Radiosurgery vs Stand-Alone Radiosurgery in the Setting of Multiple Brain Metastases

2021 ◽  
Author(s):  
Maria Punchak ◽  
Stephen P Miranda ◽  
Alexis Gutierrez ◽  
Steven Brem ◽  
Donald O'Rourke ◽  
...  
Keyword(s):  
Brain Metastases ◽  
Surgical Resection ◽  
Gamma Knife Radiosurgery ◽  
Median Number ◽  
University Of Pennsylvania ◽  
Multiple Brain Metastases ◽  
The Us ◽  
Median Diameter ◽  
Similar Survival ◽  
The University

Abstract BACKGROUND: Brain metastases are the most common central nervous system (CNS) tumors, occurring in 300,000 people per year in the US. The benefit of surgical resection, over radiosurgery, for dominant lesions remains unclear. METHODS: The University of Pennsylvania Health System database was retrospectively reviewed for patients presenting with multiple brain metastases from 1/1/16 to 8/31/18 with one dominant lesion > 2 cm in diameter, who underwent initial treatment with either resection of the dominant lesion or Gamma Knife radiosurgery (GKS). Inclusion criteria were age > 18, >1 brain metastasis, and presence of a dominant lesion (>2 cm). We analyzed factors associated with mortality. RESULTS: 129 patients were identified (surgery=84, GKS=45). The median number of intracranial metastases was 3 (IQR: 2-5). The median diameter of the largest lesion was 31 mm (IQR: 25-38) in the surgery group vs 21 mm (IQR: 20-24) in the GKS group (p<0.001). Mortality did not differ between surgery and GKS patients (69.1% vs 77.8%, p = 0.292). In a multivariate survival analysis, there was no difference in mortality between the surgery and GKS cohorts (aHR: 1.35, 95% CI: 0.74-2.45 p=0.32). Pre-operative KPS (aHR: 0.97, 95% CI: 0.95-0.99, p=0.004), CNS radiotherapy (aHR: 0.33, 95% CI: 0.19-0.56 p<0.001), chemotherapy (aHR: 0.27, 95% CI: 0.15-0.47, p<0.001), and immunotherapy (aHR: 0.41, 95% CI: 0.25-0.68, p=0.001) were associated with decreased mortality. CONCLUSION: In our institution, patients with multiple brain metastases and one symptomatic dominant lesion demonstrated similar survival after GKS when compared with up-front surgical resection of the dominant lesion.

Recovering the US Hispanic Literary Heritage: A Case Study on US Latina/o Archives and Digital Humanities

2019 ◽  
Vol 48 (1) ◽  
pp. 17-27
Author(s):  
Gabriela Baeza Ventura ◽  
Lorena Gauthereau ◽  
Carolina Villarroel
Keyword(s):  
Digital Humanities ◽  
The United States ◽  
Digital Repository ◽  
Successful Work ◽  
The Us ◽  
Literary Heritage ◽  
History Of ◽  
Personal Archives ◽  
The University

AbstractThis article focuses on the work and efforts put forth by the University of Houston’s Recovering the US Hispanic Literary Heritage program (Recovery) to create the first digital humanities center for US Latina/o Research: #usLdh. Recovery is a program to locate, preserve, and make available the written legacy of Latinas/os in the United States since colonial times until 1960. Through 27 years of successful work Recovery has not only been able to inscribe the excluded history of Latinas/os, but also has created an inclusive and vast digital repository that facilitates scholarship in this area of studies. This article focuses on the importance of recovery work in the writing, teaching, and understanding of history and considers how local personal archives have helped to fill in the gaps of mainstream history. We will detail the goals and challenges of this mission, as well as the importance of educating the community in digital methods that preserve and disseminate minority voices.

scholarly journals The 100 most influential studies in CAR-T: a bibliometric analysis

2020 ◽  
Author(s):  
Beomjun Seo ◽  
Jeeyoon Kim ◽  
Seungwook Kim
Keyword(s):  
Bibliometric Analysis ◽  
Research Field ◽  
University Of Pennsylvania ◽  
Antigen Receptors ◽  
Non Profit ◽  
Funding Agencies ◽  
Car T ◽  
The Us ◽  
Us Government ◽  
The University

Abstract Background: Bibliometric analysis of mainly cited articles is used to provide information on trends in a specific research field and objective indicators of the scientific impact of the publication. With bibliometric and network analysis, we map the scientific landscape of chimeric antigen receptors T-cells (CAR-T) research. Methods: Extract 100 most cited articles published over the last decade (from January 1, 2009 to Dec 31, 2018; 10 years) from the Web of Science Core Collection with bibliographic details; year of publication, country of author, funding agencies, research organization, author information, and keywords. Results: Of the 100 papers identified, most (92%) were written in the US. US government agencies and non-profit organizations provided the most funding, and the papers funded by the NIH had the most citations, followed by those funded by the Alliance for Cancer Gene Therapy (US). 33 papers out of the top 100 most cited papers were published from the University of Pennsylvania. As for authors, Carl H. June participated in 30 papers, followed by Bruce L. Levine who participated in 11 papers. As for journals, Blood (n=20), published the most papers, followed by Science Translational Medicine (n=10). The most frequently used keyword was “adoptive immunotherapy” (n=37), followed by “lymphocytes” (n=27), and “antitumor-activity” (n=25). Conclusion: We performed the quantitative bibliometric analysis of funding bodies, countries, organizations, journals, authors, and keywords for the CAR-T research trends and landscape. Moving forward, Analysis of highly influential CAR-T articles provides insight into areas for future development.

scholarly journals The invisible supporters

AILA Review ◽  
2020 ◽  
Vol 33 ◽  
pp. 21-46
Author(s):  
Eva-Maria Jakobs ◽  
Claas Digmayer
Keyword(s):  
Written Feedback ◽  
Feedback Process ◽  
University Of Texas ◽  
Staff Members ◽  
Writing Processes ◽  
Text Quality ◽  
The Us ◽  
The University

Abstract This article examines how written feedback is used to support the production of texts for purposes of reuse. The case study refers to an entrepreneur training program at the University of Texas at Austin. In the program, Korean startups are trained in understanding the US market, and developing pitches that convince US investors. They are supported by Quicklook® reports. A Quicklook report delivers snapshots of the market receptivity for the startup’s product. Market analysts write the reports. In the final stage of drafting, program staff members supervise the report author. This study investigates how supervisors use commenting and how the goal of creating a highly reusable text source guides the feedback process. The database was examined quantitatively (frequency of drafting and commenting) and qualitatively (functional comment types). The results offer valuable insights into actual writing processes in business settings and how professionals interact to ensure a reusable product. The findings indicate a broad range of comment functions. Overall, we distinguish two main categories: feedback activities focusing on Quicklook reports as reusable resource, and feedback activities focusing on collaboration and workflow. Each category includes functional comment types. Further research is needed to learn more about professional strategies of reflecting on text quality, the quality of assessments, or the ratio between detected and real deficiencies of a document.

Access granted: Modern languages and issues of accessibility at university – a case study from Australia

2016 ◽  
Vol 6 (2) ◽  
Author(s):  
Joshua Brown ◽  
Marinella Caruso
Keyword(s):  
Substantial Evidence ◽  
Course Structure ◽  
The Us ◽  
The World ◽  
Degree Structure ◽  
Using Data ◽  
The Uk ◽  
The University ◽  
Professional Degrees

AbstractDiscussion about how to monitor and increase participation in languages study is gaining relevance in the UK, the US and Australia across various sectors, but particularly in higher education. In recent times levels of enrolment in modern languages at universities around the world have been described in terms of ‘crisis’ or even ‘permanent crisis’. In Australia, however, the introduction of a new course structure at the University of Western Australia, which established a three-year general Bachelor degree followed by professional degrees, has resulted in unprecedented levels of language enrolments. Using data from this university as a case in point, we provide substantial evidence to argue that language enrolments are directly related to overlooked issues of degree structure and flexibility, rather than to other factors.

“Instruments of Technical Cooperation”

2019 ◽  
pp. 126-163
Author(s):  
Ethan Schrum
Keyword(s):  
Institutional Arrangements ◽  
Institution Building ◽  
Government Contracts ◽  
Technical Cooperation ◽  
Government Officials ◽  
American Universities ◽  
The Us ◽  
The World ◽  
The University

Chapters 4 and 5 respectively explore the international and domestic institutional arrangements that American universities created to promote economic development around the world. Chapter 4 explains the US government’s university contracts abroad program, created in 1951 as part of the effort to implement Point Four. It also provides two case studies of university activities in Pakistan under government contracts: Penn’s attempt to create the Institute of Public and Business Administration at the University of Karachi, and the University of Southern California’s subsequent public administration program at several Pakistani institutions. The USC program self-consciously reflected on its “institution building,” and the case study traces the rise of that concept in the nationwide discussion of universities’ overseas activities that began in the mid-1950s among academic, foundation, and government officials.

Abstract 284: A Pilot Study Comparing Two Ambulatory Blood Pressure Monitors Worn at the Same Time

Hypertension ◽  
2012 ◽  
Vol 60 (suppl_1) ◽  
Author(s):  
Radhakrishna R Kallem ◽  
Kevin Meyers ◽  
Deirdre Sawinski ◽  
Raymond R Townsend
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure ◽  
Diastolic Pressure ◽  
Blood Pressure Monitoring ◽  
Demographic Data ◽  
Systolic Pressure ◽  
University Of Pennsylvania ◽  
Public Health Importance ◽  
Blood Pressures ◽  
The University

Introduction Ambulatory blood pressure monitoring (ABPM) has been proposed as the most effective way to characterize a person’s BP profile. However, there are very limited data in the literature comparing two simultaneously worn ABPM devices. Therefore, we compared an eight hour daytime simultaneous ABPM using two monitors (Mobil-O-Graph [I.E.M., Stolberg, Germany] and Spacelabs 90207 [Spacelabs Medical, Issequah, WA]). Methods Simultaneous BP and heart rate data were measured on 13 adult volunteers at the University of Pennsylvania using the two monitors over an 8 hour period. Other demographic data were also collected. Standard seated BPs were obtained in triplicate at the beginning and end of the 8 hour monitoring period using an Accutor (Datascope, Mahwah, NJ) device. Three blood pressures were obtained at 1 minute intervals, recorded and averaged for each arm using the Accutor device. Results The data show high concordance of measured mean arterial pressures (Mobil-O-Graph 101.4 [SEM-2.0] mmHg, Spacelabs 100.6 [SEM-2.4] mmHg) and heart rates (Mobil-O-Graph measuring 82.4 [ SEM- 4.1] beats/minute, Spacelabs 81.7 [4.0] beats/minute) between the monitors. Spacelabs measured a 10 mmHg higher systolic pressure (p=0.0016) and a non-statistically significant, but numerically higher (2.8 mmHg) diastolic pressure (Figure 1). Conclusion The systolic BP difference between the two devices has public health importance. These differences if confirmed in larger cohorts, ABPM manufacturers should consider developing a normative database to help practitioners interpret ABPM data obtained with their device.

Community Building in a Distance Delivered MPA Program at the University of Alaska Southeast

Public Voices ◽  
2017 ◽  
Vol 5 (3) ◽  
pp. 31
Author(s):  
Jonathan Anderson
Keyword(s):  
Distance Education ◽  
Continuing Education ◽  
Public Administration ◽  
Community Building ◽  
Department Of Education ◽  
The Us ◽  
Complete Study ◽  
The University ◽  
Education Courses

This paper presents a brief case study of the distance delivered Master of Public Administration program at the University of Alaska Southeast in Juneau, Alaska.  The US Department of Education notes that from 1995 to 1998 distance education programs in the US have increased by 72% (complete study available at http://nces.ed.gov/).  Many would say one of the greatest challenges to higher education in today's world is the challenge of distance education, particularly distance education mediated by technology.  For years, Universities have undertaken distance education through correspondence courses.  Despite the existence of such distance education courses, the fact that they were few in number, that they normally involved only preparatory or elective courses, that they rarely involved whole programs, and that they were normally administered by Departments of Continuing Education made them somehow less controversial.

Abstract MP24: Correlation Between Blood Pressure And Inflammation In The Thoracic Aorta Of HIV Patients With And Without Cocaine Use As Assessed By FDG-PET/CT

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Abhijit Bhattaru ◽  
Chaitanya Rojulpote ◽  
Rina Ghorpade ◽  
Paco E Bravo ◽  
Shivaraj Patil ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Thoracic Aorta ◽  
Fdg Pet ◽  
University Of Pennsylvania ◽  
Hiv Patients ◽  
Cocaine Use ◽  
Pet Ct ◽  
Anatomical Localization ◽  
Fdg Pet Ct ◽  
The University

Objectives: Cocaine exerts various adverse effects on the cardiovascular system, something that can be further exasperated in HIV positive individuals. In this study, we aimed to assess the atherosclerotic activity in the thoracic aorta of HIV patients with and without cocaine use, hypothesizing that there is a stronger association between blood pressure and inflammation in individuals with cocaine use as quantified by FDG-PET/CT. Methods: Patients with HIV on antiretroviral therapy (viral load <200 copy/ml) were enrolled with written consent by the University of Pennsylvania. Patients were injected with 15 mCi of 18F-FDG and full-body PET scans were acquired 120 minutes post-injection; low dose CT was used for anatomical localization of PET images. Artifact in either PET or CT images led to exclusion from analysis. OsirixMD (v9.0.02) was used to place regions of interest on axial slices surrounding ascending aorta, aortic arch, and descending aorta. Total average standard uptake mean (aSUVmean) was calculated for the aorta of each patient. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were recorded pre-imaging; mean arterial pressure (MAP) was calculated. Linear regressions were employed for statistical analysis. Results: There was a positive correlation between SBP, DBP, and MAP and uptake in HIV patients with cocaine use (N=11; SBP: r=0.66, p=0.0270; DBP: r=0.65, p=0.0299; MAP: r=0.68, p=0.0207). No correlations were seen in HIV patients without cocaine use (N=18; SBP: r=0.33, p=0.1850; DBP: r=0.19, p=0.4593; MAP: r=0.29, p=0.2502). Conclusions: In our study, blood pressure correlated positively with increased FDG uptake in patients with cocaine use. This highlights the added effect of cocaine use on aortic inflammation in HIV individuals.

Identities in Transition: Shifting Conceptions of Home among “Black” South African University Students

2005 ◽  
Vol 48 (3) ◽  
pp. 1-19 ◽  
Author(s):  
Bongi Bangeni ◽  
Rochelle Kapp
Keyword(s):  
University Students ◽  
South African ◽  
First Generation ◽  
Longitudinal Case Study ◽  
Marginalized Communities ◽  
Black South African ◽  
Research Questions ◽  
University Of Cape Town ◽  
The University

Abstract:This paper is drawn from a longitudinal case study in which we are tracking the progress of twenty students as they pursue their undergraduate degrees at the University of Cape Town. In this paper we trace two first-generation university students' changing constructions of who they are and the concomitant changes in their relationship to home and university over the course of three years. We describe their struggles to present coherent “home” identities and the ways in which these identities are challenged by both the dominant discourses of the institution and by rejection by their home communities. The research questions conventional notions that students from marginalized communities are either alienated from, or uncritically assimilated into, dominant institutional discourses.

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