A new role for the clinical librarian as educator

The Clinical Medical Librarian (CML) Program of the Tompkins-McCaw Library is a special instructional initiative to teach third-year medical students the use of information resources in the clinical setting. Librarians spend one week with selected internal medicine teams participating in work rounds and instructing team members in the use of the medical literature. The librarian assists team members to identify and retrieve relevant information through computer workstations located in the hospital. Photocopies of journal articles are made available to team members through the CML document delivery program.     

Imprinting in older ducklings: Some tests of a reinforcement model

Ducklings (Anas Platyrhynchos domesticus) older than the so-called critical period (Days 1 and 2 posthatch) were exposed to an imprinting stimulus after various experimental histories. The first study found that in previously isolated 10-day-old subjects the stimulus exhibited the same capacity to reinforce an operant response and to generate a burst-like pattern of responding as in ducklings imprinted to it on Day 1. In Experiment 2, an imprinting stimulas exhibited reinforcing capacities in 5 to 10-day-old ducklings that had previously been imprinted to a different stimulus. Most of these ducklings came to prefer the second imprinting stimulus over the first. Experiment 3 revealed that in 5-day-old ducklings with a prior history of imprinting to a different stimulus, the otherwise neutral features of a new imprinting stimulus acquired the same kind of persistent control over distress vocalization that they acquire in younger, naive subjects. In all these studies, the only difference between imprinting in older vs. younger subjects was that in older subjects a novel imprinting stimulus initially evoked fear reactions rather than filial behavior. These findings contradict the traditional view of imprinting as an irreversible process that occurs only during a brief critical period, but are entirely consistent with a reinforcement model of imprinting.     

Adolescent physical activity levels: discrepancies with accelerometer data analysis

This study investigated the effects of epoch length and cut point selection on adolescent physical activity intensity quantification using vertical axis and vector magnitude (VM) measurement with the ActiGraph GT3X+ accelerometer. Four hundred and nine adolescents (211 males; 198 females) aged 12–16 years of age wore accelerometers during waking hours. The GT3X+ acceleration counts were reintegrated into 1, 5, 15, 30 and 60 s epoch lengths for both vertical axis and VM counts. One cut point was applied to vertical axis counts and three different cut points were applied to VM counts for each epoch length. Significant differences (P < 0.01) in mean total counts per day were observed between vertical axis and VM counts, and between epoch lengths for VM only. Differences in physical activity levels were observed between vertical and VM cut points, and between epoch lengths across all activity intensities. Our findings illustrate the magnitude of differences in physical activity outcomes that occur between axis measurement, cut points and epoch length. The magnitude of difference across epoch length must be considered in the interpretation of accelerometer data and seen as a confounding variable when comparing physical activity levels between studies.     

Exploratory insights from the right-sided electrocardiogram following prolonged endurance exercise

Background: Prolonged strenuous exercise has a profound effect on cardiac function. The right heart may be more susceptible to this imposition; yet, right-sided chest leads have not been utilised in this setting. Methods: Thirty highly trained athletes at the 2014 Western States 100-mile Endurance Run from Squaw Valley to Auburn, California (body mass 68?±?12?kg, age 45?±?10?years, 57?±?15?miles per week) were recruited for the study. Pre- and post-race, a right-sided 12-lead ECG was obtained and data were extracted for P, R and S waves, J point, ST segment and T wave amplitude. Data were compared using Students T-test and statistical significance set as P?Results: There was a significant increase in P wave amplitude (29%) and QTc interval (4%) pre- to post-race from standard 12-lead ECG. From the right-sided12-lead ECG, a 23% (P?=?.01) and 38% (P?=?.03) increase in J point amplitude in V1R and V2R and a 22% (P?=?.05) increase in ST segment integral in V2R and V3R were evident. T wave inversion was evident in leads V2R–V6R in 50–90% of athletes, respectively. Close examination revealed marked heterogeneity in individual ECGs. Conclusions: Completion of a 100-mile ultra-marathon resulted in significant changes in the right-sided ECG alongside more marked responses in specific individuals. P wave, ST segment and T wave changes post-race are indicative of acute exercise-induced right heart electrical adaptation.     

A new jump-landing protocol identifies differences in healthy,coper, and unstable ankles in collegiate athletes

Ankle sprains are the most common injury in sport. With stability being an important risk factor for ankle sprains, a jump-landing protocol that can elicit differences in time-to-stabilisation (TTS) is necessary. The objective of this study was to develop a jump-landing protocol that could identify differences in TTS among healthy, ‘coper’, and unstable ankles of high-level athletes. 61 Division I collegiate athletes (32 females, 29 males; age: 19.9 ± 1.2 years; height: 176.6 ± 9.5 cm; mass: 74.3 ± 10.8 kg) participated in a jump-landing protocol that utilised sporting movements with preparatory steps and a vertical propulsion of the body in two multi-directional jumps. Utilising the landing on a force plate, ground reaction forces were used to quantify TTS. TTS of the unstable group (1.58 ± 0.62s) was significantly longer than the healthy (1.19 ± 0.37s; p = 0.050) and ‘coper’ (1.13 ± 0.49s; p = 0.019) groups in the forward hops. In addition, TTS of the lateral hops in the unstable group (1.55 ± 0.63s) was also significantly longer than the healthy (1.14 ± 0.37s; p = 0.026) and ‘coper’ (1.15 ± 0.39s; p = 0.028) groups. This new jump-landing protocol was able to elicit differences in TTS in high-level athletes that were not found using previous protocols. This new jump-landing protocol could be an effective tool to identify injury risk for high-level athletes.     

Multicultural Inclusion of Lesbian and Gay Literature Themes in Elementary Classrooms

This article provides a rationale for and methods to assist elementary educators in creating spaces where the enhancement of awareness of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ)-themed literature could be explored in elementary schools and classrooms. The authors assert that an approach to providing gender and sexuality diversity in the elementary grades is part of multicultural practice in elementary classrooms. Through document analysis, the authors discovered the existing theories, practices, and evidence available in the literature that would provide elementary educators support to use LGBTQ-themed children's literature in academic spaces. The authors then provide a set of guidelines for educators to modify their existing instructional practices in order to empower young learners with the critical literacy attributes necessary in order to gain access to knowledge, power, and opportunities.     

Listening to the Logos: Speech and the Coming of Wisdom in Ancient Greece

This essay examines accounts of visits to Civil War prison sites, cemeteries, and battlefields that were generated by the popular speaker Anna E. Dickinson during an 1875 lecture tour of Southern states. An ardent Unionist, Dickinson visited places that she believed to exemplify Union sacrifice and Confederate wrongdoing. We analyze her accounts—captured in letters to her mother—in order to understand how this rhetorically skilled public figure used these visits as opportunities for invention and interpretation, generating textual responses oriented toward public memory-making. We argue that her letters enact what we call a pilgrim-critic persona, which both demonstrates an affective connection to places and undertakes a critical investigation of what happened there. Employing the concept of the pilgrim-critic enables this analysis to contribute to rhetorical studies of public memory by highlighting the inventional resources used when visitors interpret their experiences of memory places.     

Development of Gender Typicality and Felt Pressure in European French and North African French Adolescents

Trajectories of gender identity were examined from Grade 6 (M_age = 11.9 years) to Grade 9 in European French (n = 570) and North African French (n = 534) adolescents, and gender and ethnic group differences were assessed in these trajectories. In Grade 6, boys of both ethnic groups reported higher levels of gender typicality and felt pressure for gender conformity than girls. European French girls and boys and North African French girls reported decreasing gender typicality from Grade 6 to Grade 9, whereas North African French boys did not change. Felt pressure decreased among girls, did not change in European French boys, and increased in North African French boys. Ethnic and gender differences in gender identity development are discussed.