Broadening the View of Holistic Care: Integrating Arts and Humanities Into Physician Assistant Education.

Introduction: The integration of arts and humanities (A&H) into physician assistant (PA) preclinical curriculum may enhance student performance and improve their patient rapport. Arts and humanities content could promote the personal and professional qualities we desire in clinicians including competence, compassion, and empathy. The aim of this research was to determine what PA students report learning from A&H modules designed to foster personal insight and perspective-taking.

Climate change and human impacts on aquatic communities at Etoliko Lagoon in western Greece.

The Etoliko Lagoon in western Greece has experienced extensive human modification since the 20th century, both on the surrounding land and in the aquatic environment. To examine human impacts and disentangle climatic from anthropogenic changes, we present a suite of biomarker records that span the past two centuries (∼1790-2011). Specifically, we use terrigenous (n-alkanes, polycyclic aromatic hydrocarbons (PAHs), and phytosterols) and aquatic (dinosterol, brassicasterol, cholesterol, and stigmasterol) biomarkers to document changes in nutrient inputs, combustion, and algal productivity.

Increased water use efficiency leads to decreased precipitation sensitivity of tree growth, but is offset by high temperatures.

Both increases in temperature and changes in precipitation may limit future tree growth, but rising atmospheric CO could offset some of these stressors through increased plant Water Use Efficiency (WUE). The net balance between the negative impacts of climate change and positive effects of CO on tree growth is crucial for ecotones, where increased climate stress could drive mortality and shifts in range. Here, we quantify the effects of climate, stand structure, and rising CO on both annual tree-ring growth increment and intrinsic WUE (iWUE) at a savanna-forest boundary in the Upper Midwest United States.

Antarctic icebergs reorganize ocean circulation during Pleistocene glacials.

The dominant feature of large-scale mass transfer in the modern ocean is the Atlantic meridional overturning circulation (AMOC). The geometry and vigour of this circulation influences global climate on various timescales. Palaeoceanographic evidence suggests that during glacial periods of the past 1.

Life form-specific gradients in compound-specific hydrogen isotope ratios of modern leaf waxes along a North American Monsoonal transect.

The use of hydrogen isotope ratios (δ(2)H) of sedimentary n-alkanes from leaf waxes has become an important tool for reconstructing paleoenvironmental and ancient hydrologic conditions. Studies of modern plant waxes can elucidate driving ecological mechanisms behind geologic deposits. Here, we used a transect across the North American Monsoon region of the western USA from Tucson, Arizona to Salt Lake City, Utah to study variations in leaf wax δ(2)H among co-occurring plants.

Predicting leaf wax n-alkane 2H/1H ratios: controlled water source and humidity experiments with hydroponically grown trees confirm predictions of Craig-Gordon model.

The extent to which both water source and atmospheric humidity affect δ(2)H values of terrestrial plant leaf waxes will affect the interpretations of δ(2)H variation of leaf waxes as a proxy for hydrological conditions. To elucidate the effects of these parameters, we conducted a long-term experiment in which we grew two tree species, Populus fremontii and Betula occidentalis, hydroponically under combinations of six isotopically distinct waters and two different atmospheric humidities. We observed that leaf n-alkane δ(2)H values of both species were linearly related to source water δ(2)H values, but with slope differences associated with differing humidities.

Leaf-wax n-alkanes record the plant-water environment at leaf flush.

Leaf-wax n-alkanes (2)H/(1)H ratios are widely used as a proxy in climate reconstruction. Although the broad nature of the relationship between n-alkanes δ(2)H values and climate is appreciated, the quantitative details of the proxy remain elusive. To examine these details under natural environmental conditions, we studied a riparian broadleaf angiosperm species, Populus angustifolia, growing on water with a constant δ(2)H value and monitored the δ(2)H values of leaf-wax n-alkanes and of stem, leaf, stream, and atmospheric waters throughout the entire growing season.

Extended megadroughts in the southwestern United States during Pleistocene interglacials.

The potential for increased drought frequency and severity linked to anthropogenic climate change in the semi-arid regions of the southwestern United States (US) is a serious concern. Multi-year droughts during the instrumental period and decadal-length droughts of the past two millennia were shorter and climatically different from the future permanent, 'dust-bowl-like' megadrought conditions, lasting decades to a century, that are predicted as a consequence of warming. So far, it has been unclear whether or not such megadroughts occurred in the southwestern US, and, if so, with what regularity and intensity.