This chapter provides insight into the separation and return processes experienced when undergraduate National Guard and reserve personnel are mobilized for military duty. Suggestions for faculty and administrative staff on how to assist these individuals throughout this process are provided.
A National Science Foundation sponsored educational deployment of a Doppler on Wheels radar called the Hawaiian Educational Radar Opportunity (HERO) was conducted on O‘ahu from 21 October to 13 November 2013. This was the first-ever deployment of a polarimetric X-band (3 cm) research radar in Hawaii. A unique fine-resolution radar and radiosonde dataset was collected during 16 intensive observing periods through a collaborative effort between University of Hawai‘i at Mānoa undergraduate and graduate students and the National Weather Service’s Weather Forecast Office in Honolulu. HERO was the field component of MET 628 “Radar Meteorology,” with 12 enrolled graduate students who collected and analyzed the data as part of the course. Extensive community outreach was conducted, including participation in a School of Ocean and Earth Science and Technology open house event with over 7,500 visitors from local K–12 schools and the public. An overview of the HERO project and highlights of some interesting tropical rain and cloud observations are described. Phenomena observed by the radar include cumulus clouds, trade wind showers, deep convective thunderstorms, and a widespread heavy rain event associated with a cold frontal passage. Detailed cloud and precipitation structures and their interactions with O‘ahu terrain, unique dual-polarization signatures, and the implications for the dynamics and microphysics of tropical convection are presented.
Morbid obesity, defined as a body mass index (BMI) greater than 40 kg/m 2 has implications for patient morbidity and mortality, hospital length of stay, resource allocation, and cost. Over time, physiologic changes related to morbid obesity occur in all body systems, and are particularly evident in the pulmonary system. Loss of functional residual capacity (FRC), restrictive and obstructive airway patterns, and alterations in gas exchange predispose the morbidly obese patient to conditions such as obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS). These conditions contribute to a marked decrease in pulmonary reserve, and when systemic insults such as traumatic injury or illness occur, respiratory failure may develop. Pulmonary anatomy and physiology, including lung capacities, compliance, resistance, and morphological changes that occur over time in the morbidly obese patient, will be discussed. Airway management and mechanical ventilation strategies used in the treatment of acute respiratory failure in the patient with morbid obesity will be reviewed based on current literature and evidence-based guidelines. The role of the nurse as part of the multidisciplinary team in assessing and implementing effective treatment strategies for the morbidly obese patient through the continuum of pulmonary dysfunction will be introduced.
Computerized testing has been introduced at Indiana University School of Medicine (IUSM) as a way to standardize the assessment experience among the different campuses. The computerized testing uses medical students’ personal computers and requires ExamSoft Worldwide software to be loaded directly onto each computer. This software ensures that each exam can only be viewed during official testing times and blocks the use of other software and the internet during testing. This testing method was introduced during the second year of coursework for one medical school class (n=29). Student perceptions of computerized exams were of interest to faculty because this class took only paper exams during the first year of medical school. A survey was given to second year pathology students prior to their first experience with computerized testing to gather information on any concerns and preconceptions the students had about the new testing system. A second survey was given to the same class after two block exams had been taken with the computerized testing system. Prior to their first experience with computerized testing, survey responses indicated the class had concerns with the use of personal computers and the possibility of a technical malfunction, as well as how their performance would be affected by not having a paper copy of the test to make notes on. After taking two computerized exams, concerns about technical issues and the use of personal computers were reduced, but concerns about not being able to make notations on a paper copy of the exam remained.
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