Tufts University Research Articles

Food Shopping Experiences Among Dollar Store Shoppers in Fresno and Boston During the COVID-19 Pandemic

ObjectivesIn this qualitative study, we examined the impact of the COVID-19 pandemic on motivations, decision-making, and food shopping among dollar store shoppers in Fresno, CA and Boston, MA. Eligible participants were ≥18 years old, lived in Boston or Fresno, spoke English or Spanish, and shopped at a dollar store within the past month.MethodsUsing convenience sampling, participants were recruited via flyers at 10 dollar stores in low-income neighborhoods in Fresno and Boston and posts in community Facebook groups. Interviews in Boston (n = 25) and Fresno (n = 26) were conducted remotely from August-December 2020.ResultsOur participants were primarily low-income, English-speaking women who shopped at dollar stores about once perweek. Preliminary qualitative content analysis shows that key shopper motivations included low prices, product variety, and convenience. Shelf-stable foods and snacks were frequently purchased, especially for children. Shoppers in Fresno relied more on dollar stores for groceries and fresh produce, while Boston shoppers primarily purchased shelf-stable foods or snacks. Shoppers in both cities desired increased availability of fresh foods. Shoppers reported fear of shopping, limited stock, financial stress, and fewer trips early in the pandemic. Shopping increased by summer. Shoppers with children reported increased food expenditures during the pandemic, including at dollar stores, as closed schools meant that children consumed meals at home.ConclusionsDollar stores continue to be an important food resource despite challenges related to the pandemic. Considering frequent use, food purchases, and desire for more fresh foods among shoppers, dollar stores chains may find a receptive audience for increasing their fresh food stock.Funding SourcesEthical approval was provided by the Tufts University Social, Behavioral & Educational Research Institutional Review Board. Funding was provided by the Bergstrom Foundation and Tufts Friedman School of Nutrition Science and Policy.

Reply by Authors.

No AccessJournal of UrologyAdult Urology1 Jun 2021Reply by Authorsis a reply to letterEditorial Comment William C. Daly, Joshua A. Linscott, Paul K. J. Han, Matthew H. Hayn, Moritz H. Hansen, Stephen T. Ryan, Scot C. Remick, and Jesse D. Sammon William C. DalyWilliam C. Daly Maine Medical Center Research Institute, Portland, Maine Tufts University School of Medicine, Boston, Massachusetts Equal study contribution. More articles by this author , Joshua A. LinscottJoshua A. Linscott Maine Medical Center Research Institute, Portland, Maine Equal study contribution. More articles by this author , Paul K. J. HanPaul K. J. Han Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, Maine More articles by this author , Matthew H. HaynMatthew H. Hayn Maine Medical Center Research Institute, Portland, Maine More articles by this author , Moritz H. HansenMoritz H. Hansen Maine Medical Center Research Institute, Portland, Maine More articles by this author , Stephen T. RyanStephen T. Ryan Maine Medical Center Research Institute, Portland, Maine More articles by this author , Scot C. RemickScot C. Remick Maine Medical Center Research Institute, Portland, Maine More articles by this author , and Jesse D. SammonJesse D. Sammon †Correspondence: Division of Urology & Center for Outcomes Research and Evaluation, Maine Medical Center, 509 Forest Ave., Suite 200, Portland, Maine 04101 telephone: 207-692-7167; E-mail Address: [email protected]; E-mail Address: [email protected] Maine Medical Center Research Institute, Portland, Maine Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, Maine More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001594.02AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Reply by Authors." The Journal of Urology, 205(6), pp. 1646–1647 Reference 1. : Implications of the United States Preventive Services Task Force recommendations on prostate cancer stage migration. Clin Genitourin Cancer 2021; 19: e12. Google Scholar © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsRelated articlesJournal of UrologyMar 18, 2021, 12:00:00 AMEditorial Comment Volume 205Issue 6June 2021Page: 1646-1647 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information William C. Daly Maine Medical Center Research Institute, Portland, Maine Tufts University School of Medicine, Boston, Massachusetts Equal study contribution. More articles by this author Joshua A. Linscott Maine Medical Center Research Institute, Portland, Maine Equal study contribution. More articles by this author Paul K. J. Han Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, Maine More articles by this author Matthew H. Hayn Maine Medical Center Research Institute, Portland, Maine More articles by this author Moritz H. Hansen Maine Medical Center Research Institute, Portland, Maine More articles by this author Stephen T. Ryan Maine Medical Center Research Institute, Portland, Maine More articles by this author Scot C. Remick Maine Medical Center Research Institute, Portland, Maine More articles by this author Jesse D. Sammon Maine Medical Center Research Institute, Portland, Maine Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, Maine †Correspondence: Division of Urology & Center for Outcomes Research and Evaluation, Maine Medical Center, 509 Forest Ave., Suite 200, Portland, Maine 04101 telephone: 207-692-7167; E-mail Address: [email protected]; E-mail Address: [email protected] More articles by this author Expand All Advertisement Loading ...

Preface

On behalf of the Organizing Committee, I would like to extend our warmest regards to all participants of the 6th International Conference on Tropical and Coastal Region Eco-Development (ICTCRED) 2020. This annual conference was held on 27-28 October 2020, organized by the Faculty of Fisheries and Marine Science, Universitas Diponegoro, Semarang, Central Java, Indonesia.We brought an essential global topic the Sustainable Development in Coastal Area . The conference aims to provide a forum to exchange ideas and their current achievements for researchers, academicians, professionals, and industries to expose and exchange innovative ideas, methods, and experiences in the areas related to tropical life sciences and coastal development.We have accepted 107 abstracts for oral and poster presentations coming from different universities and research centers from Indonesia, Japan, USA, UK, Netherlands, South Korea, Belgium, and Malaysia, which were consisted of 15 big interests. Besides, we have cordially invited ten highly respected researchers as keynote speakers with different fields to share their knowledge and expertise. We are grateful for each one of them for setting aside their valuable time to participate in this conference.The 6th ICTCRED 2020 was firstly planned to be held offline in Semarang, Indonesia. However due to the pandemic COVID-19 situation, we had to adapt the new normal regulation which restrict the face to face meeting to avoid the massive virus transmission. Therefore, the 6th ICTCRED 2020 was held in virtual format using Zoom application. This event could not be postponed since it has become the annual event of the Faculty of Fisheries and Marine Science, Universitas Diponegoro. Despite virtual event, we guarantee that the 6th ICTCRED 2020 was held professionally, following the rule of scientific conference. Starting with the plenary session with the presentation from the keynote speakers, the participants have their presentation in the panel sessions with 10 minute presentation and 10 minute discussion. The presentation of participant was in video recording format to avoid the technical problems during the presentation. However, the presence of participant was an obligation to answer the questions emerging during discussion session. The recording of the plenary session in the first and second day of the 6th ICTCRED 2020 can be seen on https://www.youtube.com/watch?v=j7uZx6ebRQg&t=3094s and https://www.youtube.com/watch?v=UQqZrAsvEJg&t=2990s, respectively.The committee extent very kind thank all participants for the success of the conference. They were Rector of Universitas Diponegoro, Dean of Faculty of Fisheries and Marine Science, the keynote speakers. We also would like to acknowledge the Institute of Physics (IOP) for the collaboration in publishing the conference proceedings, our sponsors the Universitas Diponegoro, COREM Undip, ICZM Center Undip, WCU Undip, ISOI, NIOZ, NWO, Tufts University, and TU Delft.Finally, we proudly present 62 selected papers in IOP Conference Series: Earth and Environmental Science. We do hope that the 6th ICTCRED 2020 event brings a fruitful knowledge and be a memorable event not only from the scientific perspective but also in the joy of meeting with other scientists for mutual collaboration.List of Guest Editor, Scientific Committee/Editor, Organizing Committee are available in this pdf.

Impact of a Novel Method of Ethics Education on Nurse Leaders’ Capacity for Moral Decision-Making:: An Exploratory Qualitative Study

This 2018–2019 study assessed the impact of a novel educational intervention on the moral decision-making process of nurse leaders. Utilizing Rest’s model of decision-making, we used a grounded theory approach to examine the impact of the Ethical Lens Inventory on the moral decision-making of 30 nurse leaders at a large, tertiary medical center. Three larger themes emerged: the perspectives-based theoretical framework, the need for restraint in ethical deliberation, and the perceptions of organizational support. The Ethical Lens Inventory and accompanying lecture proved helpful in developing the first 2 stages of Rest’s model of decision-making, as well as in demonstrating organizational support. This 2018–2019 study assessed the impact of a novel educational intervention on the moral decision-making process of nurse leaders. Utilizing Rest’s model of decision-making, we used a grounded theory approach to examine the impact of the Ethical Lens Inventory on the moral decision-making of 30 nurse leaders at a large, tertiary medical center. Three larger themes emerged: the perspectives-based theoretical framework, the need for restraint in ethical deliberation, and the perceptions of organizational support. The Ethical Lens Inventory and accompanying lecture proved helpful in developing the first 2 stages of Rest’s model of decision-making, as well as in demonstrating organizational support. Brooklyn Aaron, BA, is a WellStar Religion and Public Life Fellow at Georgia State University in Atlanta, Georgia. She can be reached at [email protected] . Avery Glover, MA, is an MD/MBA Candidate at Tufts University School of Medicine in Boston, Massachusetts and Heller School for Social Policy and Management, Brandeis University, in Waltham, Massachusetts. Evelina Sterling, PhD, MPH, MCHES, is the Director of Research Development & Strategic Initiatives at Kennesaw State University in Kennesaw, Georgia. Stuart Downs, DNP, RN, NEA-BC, CENP, CPHQ, FACHE, FAONL, is the Director of Critical Care Services at Northside Hospital Gwinnett in Lawrenceville, Georgia. Jason Lesandrini, FACHE, LPEC, HEC-C, is the VP of Ethics, Advance Care Planning, Spiritual Health, and Interpretive Services at WellStar Health System in Atlanta, GA.

Diverse Experiences Lead to a Career in Applied Research: A Conversation With Ann Daunic

Dr. Ann P. Daunic is an emeritus scholar in the Special Education, Psychology, and Early Childhood Studies programs in the College of Education at the University of Florida (UF). A graduate of Ohio Wesleyan University, she has a doctorate in special education from UF and a master’s of science degree in psychology from Tufts University.

Mindful transition of In-person anatomy education to a virtual education environment.

Journal of Dental EducationVolume 85, Issue S3 p. 1940-1942 ADVANCING THROUGH INNOVATION Mindful transition of In-person anatomy education to a virtual education environment Sujey Morgan DDS, MS, Corresponding Author Sujey Morgan DDS, MS [email protected] Department of Prosthodontics, Advanced Education Program in Prosthodontics, Tufts University School of Dental Medicine, Boston, Massachusetts, USA Correspondence Sujey Morgan, DDS, MS, Department of Prosthodontics, Advanced Education Program in Prosthodontics, Tufts University School of Dental Medicine, One Kneeland Street, DHS-1247, Boston, MA 02111, USA. Email: [email protected]Search for more papers by this authorGabriela F. Lagreca DDS, FACP, Gabriela F. Lagreca DDS, FACP Department of Prosthodontics, Advanced Education Program in Prosthodontics, Tufts University School of Dental Medicine, Boston, Massachusetts, USASearch for more papers by this author Sujey Morgan DDS, MS, Corresponding Author Sujey Morgan DDS, MS [email protected] Department of Prosthodontics, Advanced Education Program in Prosthodontics, Tufts University School of Dental Medicine, Boston, Massachusetts, USA Correspondence Sujey Morgan, DDS, MS, Department of Prosthodontics, Advanced Education Program in Prosthodontics, Tufts University School of Dental Medicine, One Kneeland Street, DHS-1247, Boston, MA 02111, USA. Email: [email protected]Search for more papers by this authorGabriela F. Lagreca DDS, FACP, Gabriela F. Lagreca DDS, FACP Department of Prosthodontics, Advanced Education Program in Prosthodontics, Tufts University School of Dental Medicine, Boston, Massachusetts, USASearch for more papers by this author First published: 27 March 2021 https://doi.org/10.1002/jdd.12604Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume85, IssueS3Supplement: Advancing Through InnovationDecember 2021Pages 1940-1942 This article also appears in:Advancing Through Innovation in a Challenging Time RelatedInformation

Surgical extractions of wisdom teeth at Tufts University, USA according to UK’s NICE guidelines

AbstractAimsTo investigate the reasons for extraction of third molars (3Ms) at Tufts University School of Dental Medicine (TUSDM) and compare this to the UK’s NICE guidelines.MethodsData were collected at TUSDM retrospectively from 99 patients who underwent surgery in 2019 under American Dental Association (ADA) codes D7220, D7230, D7240 and D7241 (removal of impacted tooth in soft tissue, partially bony, completely bony and with unusual surgical complications). Patient details of age, location of 3M, Winter's classification of impaction, reason for extraction, need for bony removal, type of anaesthesia or sedation, prescribed medications and complications were recorded.ResultsA total of 274 surgical extractions of teeth were recorded. Ages ranged from 15 to 39, with an average age of 24. Intravenous sedation (IVS) was used in 80% of patients with an average of 3.6 3Ms extracted in each of these patients, when local anaesthetic was used alone an average of two 3Ms were extracted. Ninety per cent and 78.7% of maxillary and mandibular 3Ms, respectively, were extracted with no pathology. Thirteen per cent of mandibular 3Ms were extracted due to pericoronitis (usually a single episode), 4% due to caries and 2.3% due to distal second molar (2M) caries. There were five instances of post‐operative complications, the worst being hypoesthesia of the right inferior dental (ID) nerve for 3 months.ConclusionWisdom teeth are removed earlier at Tufts for prophylactic reasons with the intention of preventing future problems and caries in the adjacent tooth. More evidence is required to decide which patients would benefit from prophylactic extractions.

Dr. Chester Andrzejewski Recipient of the Francis Morrison Award, ASFA 2021

Professional Overview: Chester Andrzejewski, Jr., Ph.D., M.D. is Medical Director of System Blood Banking & Transfusion/Apheresis Medicine Services at Baystate Health in Springfield, MA. A graduate of Brown University, Providence, RI (ScB, Biology) and Tufts University, Boston, MA (Ph.D. Immunology and M.D.), he performed his post-graduate residency training at the Hospital of the University of Pennsylvania in Clinical Pathology along with fellowship training in Blood Banking/Transfusion Medicine (Philadelphia, PA). He holds board certifications in both Clinical Pathology and Blood Banking/Transfusion Medicine and is an Assistant Professor, Department of Pathology, University of Massachusetts Medical School-Baystate / Springfield, MA. He is a Past President of the American Society for Apheresis (ASFA) (2006-2007) and continues to serve on various committees of that society, including the organization’s Public Affairs and Advocacy Committee which is active in the promotion of Apheresis Medicine as a medical/scientific discipline and the development of electronic technologies related to the speciality (i.e., Telapheresis). A listing of his most recent medical/scientific publications and presentations can be viewed on Scholarly Commons @ Baystate Health or ResearchGate.net. Dr. Andrzejewski will be given the Francis Morrison Award, which was established in 2002 and is bestowed upon a member of AFSA who has made major contributions to the field of apheresis medicine and who has made a lasting difference in the field. The award will be given at the 21st annual meeting of ASFA and will be held virtually from May 12-15, 2021.

Cost-Effectiveness of Hip Arthroscopy for Treatment of Femoroacetabular Impingement Syndrome and Labral Tears: A Systematic Review.

Background:Hip arthroscopy has frequently been shown to produce successful outcomes as a treatment for femoroacetabular impingement (FAI) and labral tears. However, there is less literature on whether the favorable results of hip arthroscopy can justify the costs, especially when compared with a nonoperative treatment.Purpose:To systematically review the cost-effectiveness of hip arthroscopy for treating FAI and labral tears.Study Design:Systematic review; Level of evidence, 3.Methods:PubMed/MEDLINE, Embase, and Cochrane Library databases, and the Tufts University Cost-Effectiveness Analysis Registry were searched to identify articles that reported the cost per quality-adjusted life-year (QALY) generated by hip arthroscopy. The key terms used were “hip arthroscopy,” “cost,” “utility,” and “economic evaluation.” The threshold for cost-effectiveness was set at $50,000/QALY. The Methodological Index for Non-Randomized Studies instrument and Quality of Health Economic Studies (QHES) score were used to determine the quality of the studies. This study was prospectively registered on PROSPERO (CRD42020172991).Results:Six studies that reported the cost-effectiveness of hip arthroscopy were identified, and 5 of these studies compared hip arthroscopy to a nonoperative comparator. These studies were found to have a mean QHES score of 85.2 and a mean cohort age that ranged from 33-37 years. From both a health care system perspective and a societal perspective, 4 studies reported that hip arthroscopy was more costly but resulted in far greater gains than did nonoperative treatment. The preferred treatment strategy was most sensitive to duration of benefit, preoperative osteoarthritis, cost of the arthroscopy, and the improvement in QALYs with hip arthroscopy.Conclusion:In the majority of the studies, hip arthroscopy had a higher initial cost but provided greater gain in QALYs than did a nonoperative treatment. In certain cases, hip arthroscopy can be cost-effective given a long enough duration of benefit and appropriate patient selection. However, there is further need for literature to analyze willingness-to-pay thresholds.

Promoting Quality of Life in Advanced Dementia Care: Reading Buddies Program as Service-learning.

The Reading Buddies Program was developed as a service-learning component of an Occupational Therapy Practice with Older Adults course as a collaboration between Tufts University and the VA Bedford Health Care System. The purpose of this service-learning program was to challenge graduate students’ implicit biases and improve communication skills when working with older adults with significant cognitive impairments. Through this collaboration, occupational therapy students provided individualized, activity-based care to Veterans with advanced dementia. In this qualitative study, a total of 55 guided reflection papers submitted by students were analyzed using NVivo. Four major themes emerged: “I was a fish out of water,” “I finally took a risk,” “And then I thought, maybe I should give myself a little credit,” and, “I am still experimenting with how I feel,” illustrating student outcomes and perceived benefits of participation in the Reading Buddies Program. Each theme reflected the development of clinical reasoning which was the targeted impact. Outcomes confirm service-learning as an effective tool and suggest further use for academic programs, emphasizing the potential of creative partnerships to meet educational goals while providing valuable programming to vulnerable populations.

National Recommendations against Prostate Specific Antigen Screening versus Statewide Medicaid Expansion Initiatives: A Battle of the Titans.

Medicaid expansion under the Patient Protection and Affordable Care Act occurred almost concurrently with 2012 U.S. Preventive Services Task Force recommendations against prostate specific antigen screening. Here the relative influence on prostate specific antigen screening rates by 2 concurrent and opposing system-level policy initiatives is investigated: improved access to care and change in clinical practice guidelines. Behavioral Risk Factor Surveillance System data from years 2012 to 2018 were analyzed for trends in self-reported prostate specific antigen screening and insurance coverage. Subanalyses included state Medicaid expansion status and respondent federal poverty level. Multivariable logistic regression was performed to evaluate factors associated with prostate specific antigen screening. From 2012 to 2018 prostate specific antigen screening predominantly declined with a notable exception of an increase of 7.3% for men at <138% federal poverty level between 2011 and 2013 in early expansion states. Initial increases did not continue, and screening trends mirrored those of nonexpansion states by 2018. Notably, 2014 planned expansions states did not follow this trend with minimal change between 2015 and 2017 compared to declines in early expansion states and nonexpansion states (-0.4% vs -6.7% and -8.6%, respectively). Medicaid expansion was associated with increased rates of insured men at <138% federal poverty level from 2012 to 2018 in early expansion states. In this group, initial increases in prostate specific antigen screening were not durable and followed the trend of reduced screening seen across the United States. In planned expansions states the global drop in prostate specific antigen screening from 2016 to 2018 was offset in men at <138% federal poverty level by expanding access to care. Nonexpansion states showed a steady decline in prostate specific antigen screening rates. This suggests that policy such as U.S. Preventive Services Task Force recommendations against screening competes with and often outmatches access to care.

Ndidiamaka Amutah-Onukagha: advancing maternal health justice

“I see myself as a scholar–activist”, says Ndidiamaka Amutah-Onukagha, Associate Professor of Public Health and Community Medicine at Tufts University School of Medicine in Boston, MA, USA. At Tufts she leads research on the underlying causes of maternal health disparities in Black women. “This previously underrecognised issue has come into sharp focus after the US Surgeon-General declared last November how maternal health disparities across the USA have become a national crisis”, she says.

Applying "think-pair-share" for virtual curriculum retreat.

With coronavirus disease 2019 (COVID-19) leading to ubiquitous changes across the education system, Tufts University School of Dental Medicine took advantage of their new, fast-changing environment to foster engagement among faculty members regarding curricular modifications and their impact on assessment outcomes. A virtual curricular retreat was planned, where adaptations could be discussed through the lens of Miller's Pyramid. The retreat provided an opportunity for faculty to participate in a guided dialogue via a "think-pair-share" activity that resulted in documenting the outcomes of recent curriculum changes while allowing for reflection for future improvement.

Acetaminophen (Paracetamol), COVID-19, and Misleading Conclusions: A Commentary.

Dr. Shader is Founding Editor-in-Chief Emeritus of the Journal of Clinical Psychopharmacology. He is currently Senior Research Fellow and Medical Consultant at the Tufts Center for the Study of Drug Development and Professor Emeritus in the Departments of Immunology and Psychiatry at the Tufts University School of Medicine, Boston, Massachusetts. Received November 20, 2020; accepted after revision December 8, 2020. Reprints: Richard I. Shader, MD, Tufts University School of Medicine, 75 Kneeland St, Boston, MA 02111, USA (e-mail: [email protected]).

Lorraine "Laurie" D. Eyde (1932-2019).

Presents an obituary for Lorraine "Laurie" D. Eyde (1932-2019). Lorraine "Laurie" Dittrich Eyde was born February 20, 1932, in New York City, New York, and grew up in Queens, New York. She died peacefully on July 10, 2019, in Arlington, Virginia. Laurie received her bachelor's degree in 1953 from Tufts University and doctorate in industrial/organizational psychology in 1959 from The Ohio State University. She married the botanist Richard Eyde in 1957 and they spent 1960-1961 in Lucknow, India. In 1961, Laurie and Richard moved to theWashington, DC, area, and Laurie began a more-than-50-year career in public service, first at the U.S. Department of Health, Education, and Welfare and, from 1971, as a personnel research psychologist at the U.S. Office of Personnel Management (OPM). At OPM, she found a mentor in Ernest S. Primoff and went on to work with him on the job element method, one of the first job analysis approaches to focus on workers' competencies. Laurie's doctoral thesis compared attitudes toward workforce participation held by women in her own 1953 graduating class with attitudes of women who graduated 5 years later. In 1963, she recontacted both groups of women and, in 1968, published an article in Journal of Counseling Psychology reporting on that 5-year follow-up. Laurie is most widely known for her work on the ethical use of tests. In 1985, she helped organize the Joint Committee on Testing Practice, a collaboration between the American Educational Research Association, the American Psychological Association (APA), and the National Council on Measurement in Education. She was an associate editor of Responsible Test Use: Case Studies for Assessing Human Behavior, based on the work of Joint Committee on Testing Practice's Test User Qualification's Working Group and Test User Training Work Group. Beginning in 1996, she was a member of the Psychological Assessment Work Group, established by APA's Board of Professional Affairs. In 1985, Laurie received a Distinguished Leadership Award from APA's Committee on Women in Psychology. She was also a charter fellow of the American Psychological Society and served on its board of directors. Laurie is survived by her son Dana and granddaughter, Rosemary. She was predeceased by her husband, Richard Eyde, and son Douglas. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

A Note from the Editor

A Note from the Editor Noe Montez I fell in love with academic work because I fell in love with the real-time process of seeing research and writing about theatre developed and distributed to an eager audience. It is a pleasure to hear work presented at a conference, and then to watch the author reimagine that presentation into a monograph or article. Four years ago, I joined the editorial staff at Theatre Topics hoping to highlight the ways that theatre moves between theory and practice to reach communities in and beyond our classrooms. This is my final issue, and I am truly moved by the generosity, care, and commitment to academic activism that many of you have written about over my time on the masthead. I look upon the work that my colleagues and I have published and I leave with a sense of appreciation for scholars and artists who have willingly written about their experiences with reproductive health in the academy, the value of theatre pedagogy in the aftermath of wildfire and mass shooting, the need to reimagine academic life in the wake of catastrophic climate change, and the labor that one must take on as a non-binary performer in order to create safe spaces. These are just a few among the many examples of the care work, classroom exercises, and productions that have asserted the value of theatre and performance in these pages. I am proud of the special issue on Graduate Education that captured the precarity of PhDs in the field, while offering suggestions about how our doctoral programs might better support those who matriculate. I am also grateful to my colleague and friend Kareem Khubchandani who coedited the special issue on Queer Pedagogy and Performance with me, giving space to those who practice pedagogy everywhere, from the classroom to the dance hall. It has been a joyful privilege to oversee this journal and build a representative editorial board, find more diverse external evaluators, and support authors of color who I hope will continue to see themselves represented in this journal and eventually apply for editorial positions here and elsewhere. I also want to thank several people. Soyica Colbert, DJ Hopkins, and Christin Essin have done tremendous work advocating for the journal during their respective terms as ATHE Vice President for Research and Publications. Gwendolyn Alker and Lisa S. Brenner brought me into the journal, created a system where I could learn from them, and have generously continued to offer guidance. Peter Campbell and Margherita Laera have invented and imagined the online editor roles in ways that have richly enhanced Theatre Topics’ offerings. Megan Sanborn Jones and Jessica Del Vecchio have been tireless book review editors doing unflagging work in an often-underappreciated role. Tufts University has supported me by providing graduate assistants, and I am deeply appreciative of Stephanie Engel, Jenny Herron, Teri Incampo, Mia Levenson, and Jessica Pearson-Bleyer for their careful proofing, initial evaluations of submissions, and other assistance. Finally, Bob Kowkabany and the staff at Johns Hopkins University Press make the journal run efficiently. Theatre Topics will remain in strong hands under the thoughtful editorship of John Fletcher (Editor), Susanne Shawyer (Coeditor), Jessica Del Vecchio (Book Review Editor), and Shannon Walsh (Online Editor). I am confident of the journal under their care. I leave the journal with four essays and one note from the field. These texts highlight a diversity of voices and demonstrate the ways in which the pedagogy moves people to reimagine themselves and the worlds they live in. [End Page ix] In “Developing Fontera Aesthetic through New Work Creation,” three professors from the University of Texas at El Paso (UTEP) examine their process for investigating a performance aesthetic that is unique to the Texas/Mexico borderlands through the development and staging of Georgina Escobar’s Monsters We Create. The material was developed through three separate classes to promote student ownership of the artistic process while facilitating rigorous skill-building of playwriting techniques. The result is the creation of a “sci-femme frontera” aesthetic that enables UTEP students to embrace the inherent duality of their Latinx identity. Nicolas Shannon Savard writes of their attempts to engage undergraduate students with...

Allen R. Sullivan, PhD: 9th District

Allen R. Sullivan, PhD:9th District Judson L. Jeffries Allen R. Sullivan, PhD, a 2009 inductee into the African American Educators Hall of Fame, is a distinguished educator as well as administrator, having won many awards and honors over a long career. During his lifetime, Brother Sullivan racked up many honors, merits, commendations, and badges. In addition to being a member of the Omega Psi Phi Fraternity, Inc., for nearly 60 years, he is a member of Phi Delta Kappa and Psi Chi, two prestigious national honor societies for education and psychology, respectively. It should also be noted that Brother Sullivan has the distinction of being a former student-athlete. As a track athlete, Sullivan won many important races. In addition to his athletic exploits, Brother Sullivan excelled as a Boy Scout, earning the rank of Eagle Scout. Retired since 2005, Brother Sullivan spent more than 30 years in the Dallas Independent School district in Dallas, Texas, ending his career as the Assistant Superintendent for Student Support and Advocacy Services. Brother Sullivan's impact on the lives of young people has been felt far and wide. Brother Sullivan has served as a public-school teacher, track and cross-country coach, as well as college professor. In fact, his work in the area of special education is widely documented in the form of reports, newspaper articles, books, and scholarly journal articles. As a doctoral student, during his days in Western New York, Dr. Sullivan was instrumental in reviving the Kappa chapter of the Omega Psi Phi Fraternity, Inc., which included securing a fraternity house that sat alongside other fraternity houses on the school's largely White fraternity row. Given the chilly reception that many African American students and faculty members encountered in the overwhelmingly White city of Syracuse, the acquisition of a house located on fraternity row is quite an accomplishment. As a former resident of Binghamton, NY, this writer is, in more ways than one, all too familiar with the frigid environs of Upstate New York. Winter comes early in that region of the Empire State and wears out its welcome long after spring makes an appearance in other tristate cities. Below is [End Page 347] material derived from several conversations between this writer and Dr. Sullivan in the spring of 2021. Judson L. Jeffries: Brother Sullivan, I want to thank you for taking the time to talk to me and agreeing to participate in this important project. Allen R. Sullivan: Oh, no problem—my pleasure. JLJ: How's everything going? AS: I'm not fussing too much, how's everything going with you? JLJ: I can't complain none Brother Sullivan, can't complain one bit. AS: Alright, that's good to hear. JLJ: Ok, I understand you earned your doctorate at Syracuse, but where did you go to college? AS: I went to Northeastern University in Boston. JLJ: Are you an East Coast guy? AS: If by East Coast guy, you mean did I grow up there—the answer is yes. I grew up in Cambridge. JLJ: Oh, I see, I see! I lived in Cambridge for about a year and a half, off and on. AS: Oh, is that right? JLJ: Sure did. One year I lived on Garden Street, another time I lived on Channing Drive or something like that. AS: What were you doing there? JLJ: One year I had a fellowship at the John F. Kennedy School of Government at Harvard, another year I held a fellowship at Tufts University. AS: Ok, I didn't live far from Harvard's campus. I could look out of my window and see the tower on Harvard's campus. JLJ: Because I'm fairly familiar with Cambridge, let's talk a little bit about that area. AS: Ok. JLJ: What high school did you attend? AS: I attended Rindge Technical High School. JLJ: Ok, you got me there. I don't know anything about that school. Never heard of it. AS: It was founded in 1888. At Rindge, students were afforded the opportunity to learn a trade as well as take the kinds of courses one would normally take in order to prepare for college. I should...

Calorie Restriction Improves Lipid-Related Emerging Cardiometabolic Risk Factors in Healthy Non-Obese Adults: Distinct Influences of BMI and Sex From CALERIE™ - A Multicentre, Phase 2, Randomised Controlled Trial

Background: For many cardiovascular risk factors there is no lower limit to which further reduction will result in decreased disease risk; this includes values extending ranges of normal healthy adults. This seems to be true for new emerging metabolic risk factors identified by innovative technological advances. Further, there seems to be ever evolving evidence of differential responses to lifestyle interventions by sex and body compositions in the normal range. In this secondary analysis, we had the opportunity to test these principles for newly identified molecular biomarkers of cardiometabolic risk in a young, normal weight healthy population undergoing calorie restriction for two years. Methods: The Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE™) was a 24-month, randomized controlled trial in healthy, non-obese adults to evaluate the potential for calorie restriction (CR) to promote anti-aging adaptations, including those associated with disease risk. 218 participants (age 37.9±7.19 years and BMI 25.1±1.73 kg/m2, mean±SD) were randomized 2:1 to 24 months of CR (prescribed as 25% reduction from baseline calorie intake) versus ad libitum (AL). Fasting plasma from baseline, 12, and 24 months was used for assessments of lipoproteins, metabolites, and inflammatory markers using nuclear magnetic resonance spectroscopy.­­­­­­­­­ Results: Averaging 11.9% CR, the CR group had reductions at 12 and 24 months in the cardiovascular disease risk markers, apolipoprotein B and GlycA, and risks for insulin resistance and type 2 diabetes—Lipoprotein Insulin Resistance Index and Diabetes Risk Index (all PCRvsAL ≤0.0009). Insulin resistance and diabetes risk improvements resulted from CR-induced alterations in lipoproteins, specifically reductions in triglyceride-rich lipoprotein particles and LDL particles, a shift to larger HDL particles (more effective cholesterol transporters), and reductions in branched chain amino acids (BCAAs) (all PCRvsAL ≤0.004). These CR responses were more pronounced in overweight than normal weight participants and greater in men than women. Conclusions: In normal to slightly overweight adults without overt risk factors or disease, 12 months of ~12% CR improved risks of atherosclerotic cardiovascular disease, insulin resistance and type 2 diabetes. These CR-mediated benefits accrued via reduced inflammation and branched chain amino acids, and a shift from atherogenic to cholesterol transporting lipoproteins. Additionally, CR benefits were influenced by sex and BMI, factors meriting close attention in future investigations of lifestyle-mediated improvements in disease risk factors. Clinical Trial Registration Details: NCT00427193. Funding Information: CALERIETM was conducted as a National Institutes of Health (NIH) U-grant (U01 AG022132, U01 AG020478, U01 AG020487 U01 AG020480 ). As defined by this mechanism, the study design and conduct was a collaborative effort between internal NIH and external study investigators. Additional project funding was provided by NIH R01 AG054840 (MO, VBK); R33 AG070455 (KMH, DCP, MB, SBR, CKM, LMR, SKD, CFP, CJR, WEK); P30 DK072476 (CKM, LMR); and U54 GM104940 (CKM, LMR) and without any additional scientific contribution or other role in this report. Declaration of Interests: MAC, IS, and JDO are employees of Labcorp. All other authors have no conflicts interests. Ethics Approval Statement: The study protocol (NCT00427193) was approved by the institutional review boards at all participating clinical centers (Washington University School of Medicine, St Louis, MO; Pennington Biomedical Research Center, Baton Rouge, LA; Tufts University, Boston, MA), and the coordinating center (Duke University, Durham, NC). All study participants provided written informed consent and study oversight was provided by a Data and Safety Monitoring Board.

Osmosis

Osmosis Rebecca Kaiser Gibson (bio) Keywords Rebecca Kaiser, Gibson, cigarette, India, passenger, car, roll-down window, gallop Cigarette smoke woveinto my curls, right through 100%madras from India, breathed blue-tinged, dizzy bluethrough every alveolus,as my mother lurched the cardown Wisconsin Ave., jamming gasand brake pedals, tilting—sliding me from the rearview mirrorto the carpet, kneeling as smokeclouded out the roll-down window. Has every turbid dayinhabited me singly:molecule by skin cell,till it dwelt within me?Absorbed like smoke, like rain, like falling snow,like sweat dampening the saddle,the day two friends and I rode white fieldsin silence, hair and manes whipping sideways, but keeping our seats, everything presentseeping into me, even as we galloped. [End Page 343] Rebecca Kaiser Gibson rebecca kaiser gibson is the author of Girl as Birch (forthcoming from Bauhan Publishing, 2021), Opinel (Bauhan Publishing, 2015), and two chapbooks, Admit the Peacock and Inside the Exhibition. She is the recipient of fellowships from MacDowell, The Heinrich Böll Cottage in Ireland, and the Massachusetts Cultural Council and was selected as a Fulbright Scholar to teach poetry in Hyderabad, India, in 2011. She is founder and director of The Loom, Poetry in Harrisville, a poetry reading series. Her poems have appeared in The Adroit Journal, Agni, Field, The Greensboro Review, Green Mountain Review, The Harvard Review, Ocean State Review, Salamander, Slate, and Verse-Daily, among others. Rebecca lives in Marlborough, New Hampshire, and taught poetry at Tufts University for 23 years. Copyright © 2021 The Massachusetts Review, Inc.

An Innovative Case Management and Immigrant Onboarding Model Developed by the Sharewood Project in Massachu.

The Sharewood Project, a student-run free project developed by Tufts University School of Medicine students in 1997, provides limited medical care and social services to a diverse population in Malden, Massachusetts. The project plays an unusual role in introducing immigrants to the health care and education systems in Massachusetts.