Chestnut Hill Research Articles

Nancy Netzer, ed., Secular/Sacred, 11th–16th Century: Works from the Boston Public Library and the Museum of Fine Arts, Boston. Chestnut Hill, Mass.: McMullen Museum of Art, Boston College, 2006. Paper. Pp. 121 plus 96 black-and-white and color figures; black-and-white figures. $50. Distributed by the University of Chicago Press.

Nancy Netzer, ed., Secular/Sacred, 11th–16th Century: Works from the Boston Public Library and the Museum of Fine Arts, Boston. Chestnut Hill, Mass.: McMullen Museum of Art, Boston College, 2006. Paper. Pp. 121 plus 96 black-and-white and color figures; black-and-white figures. $50. Distributed by the University of Chicago Press.

Biosensors

Biosensors

The State and Social History

Journal Article The State and Social History Get access Prasannan Parthasarathi Prasannan Parthasarathi History Department, Boston College, Chestnut Hill, MA 02467-3806 Search for other works by this author on: Oxford Academic Google Scholar Journal of Social History, Volume 39, Issue 3, Spring 2006, Pages 771–778, https://doi.org/10.1353/jsh.2006.0009 Published: 01 March 2006

Resources for Determining or Evaluating Sample Size in Quantitative Research Reports

From the Boston College, Chestnut Hill, Mass Corresponding author: Mary E. Duffy, PhD, FAAN, Center for Nursing Research, William F. Connell School of Nursing, Boston College, 433 Cushing Hall, Chestnut Hill, MA 02467 (e-mail: [email protected]; [email protected]).

The Clinical Doctorate: Whoa or Go?

<H4>EXCERPT</H4> <p>The recent movement toward the development of a clinical doctorate—the Doctor of Nursing degree, or DNP— as a requirement for advanced practice nurses and an alternative to the PhD has raised considerable discussion and debate about the purposes and aims of master’s and doctoral education in nursing. This guest editorial provides two different perspectives: one advising caution in adding another degree to the “alphabet soup” of nursing credentials and perhaps drawing attention away from the need for nursing research, and one stressing the importance of seizing the opportunity to demonstrate nurses’ strengths and responsibilities and to more readily translate nursing research fi ndings to practice.</p> <H4>AUTHORS</H4> <p>Laurel Eisenhauer, PhD, RN, FAAN, is Professor of Nursing, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts. Michael R. Bleich, PhD, RN, CNAA, is Associate Dean and Professor, Clinical and Community Affairs, Executive Director/Chief Operating Officer, KU HealthPartners, Inc., University of Kansas School of Nursing, Kansas City, Kansas.</p>

Racial disparity in fetal aneuploidy risk in an ultrasound screening population: A result of selection bias?

POPULATION: A RESULT OF SELECTION BIAS? DAVID STAMILIO, ANTHONY ODIBO, HARISH SEHDEV, LINDA DUNN, GEORGE MACONES, University of Pennsylvania, Obstetrics and Gynecology, Philadelphia, Pennsylvania, Pennsylvania Hospital, Maternal Fetal Medicine, Philadelphia, Pennsylvania, Chestnut Hill Hospital, Obstetrics and Gynecology, Philadelphia, Pennsylvania OBJECTIVE: There is evidence for racial differences in the incidence of fetal aneuploidy, utilization of prenatal genetic tests, and predictive value of screening markers. Our aim is to compare the risk of fetal aneuploidy across maternal race & to explore potential causes of disparity. STUDY DESIGN: Between 2002 & 2005 we performed a multicenter prospective cohort study of 2900 pregnant patients of variable risk level referred for a fetal ultrasound that included standard aneuploidy markers. A standardized ultrasound was performed between 15 & 22 gestational weeks. Using bivariate and multivariable statistical methods we compared fetal aneuploidy rates across maternal race. We used logistic regression to explore for confounding and sources of racial differences in aneuploidy rates. RESULTS: Patients of African origin were younger, 47% less likely to have an aneuploidy risk factor, underwent a screening ultrasound later in gestation and more commonly received care at the community versus university hospitals than other races. After controlling for multiple confounders, patients of African origin had a fetal aneuploidy rate 80% less than other races.

Delivery Options and Treasury–Bond Futures Hedge Ratios

1. Robin Grieves 1. A senior fellow at the Nanyang Technological University, Singapore (robin_grieves{at}yahoo.com) 2. Alan J. Marcus 1. At the Boston College, Wallace E. Carroll School of Management in Chestnut Hill, MA. (alan.marcus{at}bc.edu) A widely used approach for calculating hedge ratios for Treasury futures contracts assumes that the contract will be settled with the currently cheapest–to–deliver note or bond. With that single–deliverable assumption, the futures’ PVBP (price value of a basis point) is the converted, forward PVBP of $100,000 par of the cheapest to deliver. In reality, however, as market yields fluctuate, the identity of the cheapest–to–deliver bond may change. The authors derive the PVBP for futures contracts using an exchange option model and show that the futures’ PVBP accounting for the uncertainty in the ultimate delivery bond is typically very different from the PVBP implied by a single–deliverable model. Explicitly accounting for the fair value of the futures price eliminates the discontinuity and instability that otherwise would characterize the interest rate sensitivity of the futures contract. Finally, the two–deliverable model allows for futures hedge ratios to exhibit negative convexity that is not possible in a single–deliverable model.

What Standards Apply to Resuscitation at the Borderline of Gestational Age?

What Standards Apply to Resuscitation at the Borderline of Gestational Age?

Handbook of the Birds of the World. Volume 9: Cotingas to Pipits and Wagtails. Edited by Josep del Hoyo, Andrew Elliott, and , David Christie. Barcelona (Spain): Lynx Edicions. $195.00. 863 p; ill.; index. ISBN: 84–87334–69–5. 2004.

Previous articleNext article No AccessHandbook of the Birds of the World. Volume 9: Cotingas to Pipits and Wagtails. Edited by Josep del Hoyo, Andrew Elliott, and , David Christie. Barcelona (Spain): Lynx Edicions. $195.00. 863 p; ill.; index. ISBN: 84–87334–69–5. 2004.John P RocheJohn P RocheBiology, Boston College, Chestnut Hill, Massachusetts Search for more articles by this author Biology, Boston College, Chestnut Hill, MassachusettsPDFPDF PLUSFull Text Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by The Quarterly Review of Biology Volume 80, Number 3September 2005 Published in association with Stony Brook University Article DOIhttps://doi.org/10.1086/497223 Views: 16Total views on this site PDF download Crossref reports no articles citing this article.

Resuscitation Decisions for “Fetal Infants”

In Miller v HCA, Inc 1 the Texas Supreme Court overturned a $60 million verdict against a hospital for resuscitation over the parent’s objections of a 23-weeks’ gestational age, 615-g infant. The “emergent circumstances” standard articulated by the court established an exception for children to the long-standing rule that unconsented touching constitutes battery.2 Under the exception, a physician may use life-sustaining treatment even over parental objection if, in the physician’s judgment, the infant is potentially viable and failure to treat would result in death. Once the child is stabilized and a full examination and assessment of the … Address correspondence to John J. Paris, SJ, PhD, Department of Bioethics, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA 02467. E-mail: john.paris{at}bc.edu

Discussion

Chestnut Hill, Mass. Received for publication May 6, 2004. Joseph Upton, M.D., Suite 212, 830 Boylston Street, Chestnut Hill, Mass. 02467-2502

Vestiges of an Iapetan rift basin in the New Jersey Highlands: implications for the Neoproterozoic Laurentian margin

Thin, discontinuous remnants of Neoproterozoic intracratonic rift-basin deposits of the Chestnut Hill Formation occur in the western New Jersey Highlands. These deposits form an important link between well-documented Iapetan rift-basins in both the northern and southern Appalachians. The close spatial relations of Chestnut Hill rocks to Paleozoic sedimentary rocks open the possibility that additional Iapetan rift-basins could be concealed beneath the rocks of the Valley and Ridge Province to the west indicating a much broader zone of rifting than has been previously proposed. The Chestnut Hill Formation is intermittently exposed along a 100 km-long band that extends northeast from Pennsylvania nearly to New York State. The lower part of the Chestnut Hill Formation is composed of interbedded lithic pebble- to boulder-conglomerate and feldspathic sandstone grading upward into interbedded phyllite, feldspathic and quartz sandstone, local paleosaprolite, quartz-pebble conglomerate, thin limestone lenses, volcanic, and volcaniclasic rocks, abundant bedded ironstone (hematite ore), and ultimately into diamictites that are interpreted as possible tilloids and containing rounded intra and extrabasinal clasts of the other lithologies. Extensive soft-sediment deformation, cross bedding, and clastic dikes are common in all but the lowest and upper facies. Banded hematite layers occur preferentially in fine-grained tuffs and tuffaceous sediments, but hematitization has affected most lithologies. Volcanic rocks consist of altered rhyolitic tuffs and lapilli tuffs that are interbedded with sediments. The Chestnut Hill Formation is interpreted to have been deposited in early alluvial, and later a complex of fluvial, lacustrine and deltaic environments. Provenance studies based upon petrographic and geochemical analysis of clastic rocks indicate that the sediments are predominantly immature and reflect derivation from local uplifted felsic basement sources in a rifted-margin tectonic setting. Low to moderate weathering of the source rocks is indicated by the geochemistry of most samples, as is the locally intense effect of hydrothermal alteration. Most occurrences of the Chestnut Hill Formation are associated with major faults that exhibit normal movement of apparent Neoproterozoic age. Rocks from the Morgan Hill fault near Easton, Pennsylvania display consistent normal shear sense and vary from low temperature S-C mylonites to breccia that contains deformed pieces of Chestnut Hill Formation.

Saint Jerome in a dark chamber: Rembrandt's metaphoric portrayal of the depressed mind.

Saint Jerome in a dark chamber: Rembrandt's metaphoric portrayal of the depressed mind.

Commentary: The Fish Is in the Water and the Water Is in the Fish

Research Article| January 01 2004 Commentary: The Fish Is in the Water and the Water Is in the Fish Molly Layton Molly Layton 9425 Stenton Avenue Erdenheim, PA 19038 Molly Layton is a psychotherapist in private practice in the Chestnut Hill area of Philadelphia. An award-winning essayist and author of short fiction, she is also a frequent contributor to The Psychotherapy Networker. Search for other works by this author on: This Site Google Gestalt Review (2004) 8 (2): 204–205. https://doi.org/10.5325/gestaltreview.8.2.0204 Cite Icon Cite Share Icon Share Facebook Twitter LinkedIn MailTo Permissions Search Site Citation Molly Layton; Commentary: The Fish Is in the Water and the Water Is in the Fish. Gestalt Review 1 January 2004; 8 (2): 204–205. doi: https://doi.org/10.5325/gestaltreview.8.2.0204 Download citation file: Zotero Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All Scholarly Publishing CollectivePenn State University PressGestalt Review Search Advanced Search The text of this article is only available as a PDF. Copyright © 2004 The Pennsylvania State University2004The Pennsylvania State University Article PDF first page preview Close Modal You do not currently have access to this content.

Shutter Island • Shrink Rap

Shutter Island • Shrink Rap

Memoir, Social History and Commitment: Eric Hobsbawm's Interesting Times

Journal Article Memoir, Social History and Commitment: Eric Hobsbawm's Interesting Times Get access James E. Cronin James E. Cronin Department of History, Boston College, Chestnut Hill, MA 02167 Search for other works by this author on: Oxford Academic Google Scholar Journal of Social History, Volume 37, Issue 1, Fall 2003, Pages 219–231, https://doi.org/10.1353/jsh.2003.0132 Published: 01 October 2003

The Use of Ultrasonography in Preoperative Localization of Digital Glomus Tumors; Samuel Huan-Tang Chen, M.D., Yao-Liang Chen, M.D., Ming-Huei Cheng, M.D., Kee-Min Yeow, M.D., Hung-Chi Chen, M.D., and Fu-Chan Wei, M.D.

Received for publication November 13, 2002. Joseph Upton, M.D. 830 Boylston Street, No. 212 Chestnut Hill, Mass. 02467

The Integrated Behavioral Health Continuum: Theory and Practice

Back to table of contents Previous article Next article Book ReviewsFull AccessThe Integrated Behavioral Health Continuum: Theory and PracticeMichael I. Bennett, M.D.Michael I. BennettSearch for more papers by this author, M.D.Published Online:1 Jun 2003https://doi.org/10.1176/appi.ps.54.6.918AboutSectionsView EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail New systems for organizing behavioral health care gain life, energy, and converts by doing better than their predecessors; it is only with time that one discovers their shortcomings and the new problems that success creates. The Integrated Behavioral Health Continuum: Theory and Practice espouses the advantages of the latest form of organization—integrated delivery systems—and describes how to create and manage them but says little about their adverse effects. Integrated delivery systems can provide both insurance and treatment, because administrators control a large array of services and influence patient flow between them. In the public sector, such systems have improved both quality and efficiency by assembling programs with progressively more intensive, complementary services into a continuum and directing patients to receive no more services than are necessary. But there is little to prevent powerful clinical managers from overrationing care if the system's fiscal managers underfund it or from expanding administrative procedures that reduce service use while offloading costs to providers.Most of the chapters in this book provide useful information about the implementation and maintenance of integrated delivery systems without considering their negative consequences. Laurel J. Kiser's chapter, "Toward Integration," is relentlessly upbeat and corporate in tone as it notes the forces in our marketplace and clinical culture that drive change. Chapters by Paul M. Lefkovitz and David E. Ness tell us how to integrate services into a coherent system without warning that the new system is unlikely to tolerate certain traditional values and skills. A chapter by Kiser and Margaret Moran touts centralized access to services without noting the usual disadvantages: reduction in geographic availability and creation of duplicative services.A chapter by John S. Lyons and Melissa E. Abraham, "Designing Level of Care Criteria," captures the importance of risk assessments in deciding how much treatment is necessary but omits the more controversial—but equally important—assessment of a treatment's potential effectiveness. Michael A. Hoge's chapter on levels of care, the chapter by Kiser and Lawrence L. Kennedy on therapeutic processes across the continuum, and Andres J. Pumariega's chapter, "Behavioral Health Care Systems Relating to Other Systems," offer an ideal view of mutually complementary services forming a seamless continuum of care, without addressing the chaotic impact on care of benefit boundaries and the immense gaps that lie between private and public systems.Joan Betzold's chapter on document management warns of the dangers of the computerized record and stresses the importance of linking information to patients wherever they go; however, its standard data set exceeds what most clinicians would find practical or cost-effective. Two chapters on reimbursement are helpful and clearly written, but the chapter by Allen S. Daniels and Karl W. Stukenberg— "Assessing Quality of Care"—while comprehensive, does not acknowledge the inefficiency and ineffectiveness of most current quality assessment methods. A chapter on consumerism promotes consumer empowerment without recognizing that underfunding makes empowerment moot.The authors' administrative experience with and optimism about integrated delivery systems make this book useful and readable, but be warned: you will learn little about the dangers, drawbacks, and limitations of these systems by reading this book.Dr. Bennett lives in Chestnut Hill, Massachusetts.edited by Laurel J. Kiser, Ph.D., M.B.A., Paul M. Lefkovitz, Ph.D., and Lawrence L. Kennedy, M.D.; Washington, D.C., American Psychiatric Publishing, Inc., 2001, 321 pages, $45 softcover FiguresReferencesCited byDetailsCited ByNone Volume 54Issue 6 June 2003Pages 918-918 Metrics History Published online 1 June 2003 Published in print 1 June 2003

Melvin Joel Silver

Melvin Silver, a beloved member of Thomas Jefferson University, died on November 7, 2002 at Chestnut Hill Hospital after suffering a stroke. He was 82. He was a lifelong Philadelphian, raised on Tasker Street in South Philadelphia. He graduated in Biology from Temple University with a Bachelor's degree in 1941. Two years later, he achieved a Masters in science at the Philadelphia College of Pharmacy and Science, now University of the Sciences in Philadelphia. In 1953, he finished his doctorate degree at the same campus. He was associated with the Charlotte Drake Cardeza Foundation for Hematologic Research at Jefferson Medical College of Thomas Jefferson University from 1959. In that Institution he spent his entire scientific career, rising to the rank of professor of Pharmacology. He authored and coauthored over 200 research papers. Dr Silver had several sabbaticals during his career. He spent a year at the Royal College of Surgeons of England in 1970–71. In that institution he worked with Drs J.B. Smith and Willis on prostaglandins in platelet physiology and pathology. In 1971 Dr Smith joined Dr Silver and Dr Kocsis at Cardeza and the three scientists worked together as a team for almost 10 years. They were among the first to recognize the importance of arachidonic acid in platelet function. Their early work on aspirin paved the way to important advances made in this field by others. In 1977–78 he spent a sabbatical year at the Mario Negri Institute for Pharmacological Research in Italy. Finally, in 1984, as visiting scientist at the Italian National Research Council, Dr Silver spent a year at the Department of of Clinical and Experimental Medicine in Naples. The last years of his work at Cardeza were devoted to the beneficial effects of N-3 fatty acids (fish oils) on heart health. N-3 fatty acids are now widely recognized for their important role in preventing heart disease. Dr Silver was rewarded with a patent for his work with fish oils. His self-criticism and honesty made him an example of how a professional scientist should think: all the colleagues who interacted with him during his long scientific life, remember how careful Mel was in planning experiments, defining the range of controls and interpreting the data. His friends and colleagues all around the world remember him as a Maestro. Mel Silver was classically educated. He loved music and, although his taste was diverse, he loved Mozart. Dr Silver was a supporter of the Philadelphia major arts institutions and regularly attended the Philadelphia Orchestra, Pennsylvania Ballet and local theaters. He was a highly moral and ethical man, with compassion for the underdog and the underprivileged and intolerance for dishonesty and corruption. This strongly characterized his political positions, which were distinctly to the left. Since the 1960s, Dr Silver and his wife Ruth lived in West Mount Airy, making frequent visits at Wissahickon Park and its long pedestrian paths. Both were involved in efforts to maintain the wooded valley. He enjoyed strolling around the woods boarding his house. He also took much pleasure in the beautiful home garden which he and Ruth attentively cared for. In addition to his wife, Dr Silver is survived by his daughter Dr Marjory Silver, a psychologist, and his sister, Elayne. In accordance with Dr Silver's wishes, a memorial service was attended only by his closest relatives. The family has requested that people honor Dr Silver by contributing to organizations devoted to peace, justice and environmental protection.

Validation of oxygen saturation measurements in a canine model of hemoglobin-based oxygen carrier infusion.

This study was designed to validate oxygen saturation measurements from the NOVA CO-Oximeter (NOVA Biomedical Corporation, Waltham, MA), the i-STAT System (Sensor Devices, Waukesha, WI), and the Corning 170 blood gas analyzer (Bayer Corporation, East Walpole, MA) under conditions similar to the clinical application of a hemoglobin-based oxygen carrier (HBOC, hemoglobin glutamer-200 [bovine]; Oxyglobin, Biopure Corporation, Cambridge, MA). A canine model was used for both in vitro and in vivo experiments. In vivo experiments were conducted in a canine laboratory, and in vitro experiments were conducted in a tonometry laboratory. Study subjects were six mixed-breed dogs, each weighing approximately 30 kg. In the first set of experiments, the target blood po(2) levels were reached by tonometry. In the second set of experiments, quantitative measurements of total oxygen content with the LEXO2CON-K (HOSPEX Fiberoptics, Chestnut Hill, MA) were performed, immediately followed by measurements with the NOVA CO-Oximeter and the i-STAT system. HBOC was added in concentrations of 16.2, 32.5, 65, and 97.5 g/L. To analyze the clinical significance of the differences in the results obtained with the each investigated instrument, blood samples from dogs treated with HBOC after acute hemorrhagic shock were used. Oxygen saturation, oxygen content, and po(2) were measured. There was a strong correlation between the oxygen saturation values measured with the investigated instruments in samples after tonometry and known po(2). The total calculated oxygen content varied by 5% based on results generated by calculations using the investigated instruments. The results did not change with different oxygenation of the sample. The differences among methods were not significant when the HBOC concentration was 16.2 g/L. Higher concentrations of HBOC increased the difference between calculated and measured oxygen content; the i-STAT system demonstrated a greater deviation compared with the results of the other two instruments. Systemic oxygen uptake using the investigated instruments showed a high correlation with values based on LEXO2CON-K measurements (R = 0.97 for CO-Oximeter, R = 0.96 for Corning 170 blood gas analyzer, and R = 0.79 for i-STAT system). Systemic oxygen uptake values based on CO-Oximeter and Corning 170 blood gas analyzer data showed 75% accuracy; i-STAT system accuracy was 63% for control samples and 50% for samples after HBOC infusion.