Utilizing the DiSC Assessment in Surgical Residency Leadership Training to Address Communication Skill Acquisition: A Kern Six-step Approach to Curriculum Development.

Objective: Effective communication is essential in delivering high-quality patient care, and in recent years, resident education has expanded to focus on nontechnical skills and communication training. The "Everything DiSC" model is a communication inventory tool used to help employers and employees gain insight into how an individual may communicate within a team and how others may perceive similarities and differences in communication styles, comprising of Dominance (D), Influence (i), Steadiness (S), and Conscientiousness (C). In this report, we describe our experience mapping the DiSC model to the Kern 6-step framework for curriculum development and summarize residents' feedback several years following its implementation.

Source allocation by least-squares hydrocarbon fingerprint matching.

There has been much controversy regarding the origins of the natural polycyclic aromatic hydrocarbon (PAH) and chemical biomarker background in Prince William Sound (PWS), Alaska, site of the 1989 Exxon Valdez oil spill. Different authors have attributed the sources to various proportions of coal, natural seep oil, shales, and stream sediments. The different probable bioavailabilities of hydrocarbons from these various sources can affect environmental damage assessments from the spill.

Mussels document loss of bioavailable polycyclic aromatic hydrocarbons and the return to baseline conditions for oiled shorelines in Prince William Sound, Alaska.

Polycyclic aromatic hydrocarbons (PAH) were measured in mussels (Mytilus trossulus) collected between 1990 and 2002 from 11 sites on the shores of Prince William Sound (PWS), Alaska, that were heavily oiled by the 1989 Exxon Valdez oil spill (EVOS). This study, utilizing the methods of the NOAA Status and Trends Mussel Watch Program, found that concentrations of PAH released from spill remnants have decreased dramatically with time and by 2002 were at or near the range of total PAH (TPAH) of 3-355 ng/g dry weight obtained for mussels from unoiled reference sites in PWS. Time-series TPAH data indicate a mean TPAH half-life in mussel tissues of 2.

Optimizing detection limits for the analysis of petroleum hydrocarbons in complex environmental samples.

To evaluate the sources, transport, bioremediation, fate, and effects of spilled petroleum and petroleum products, environmental studies often measure parent and alkylated polycyclic aromatic hydrocarbons (PAH), alkanes, and chemical biomarkers (e.g., triterpanes).

Infrared laser spectroscopy of jet cooled cobalt tricarbonyl nitrosyl.

Rotationally resolved infrared absorption spectra for the 1(0)(1) band of jet cooled cobalt tricarbonyl nitrosyl have been observed and analyzed. Several longitudinal modes of a Pb-salt diode laser were utilized to measure 105 rovibrational transitions for this particular vibrational band centered near 2112 cm(-1). Spectra were optimized using both argon and helium carrier gases and these experiments eventually led to rovibrational transitions being assigned to four different K subbands, specifically the K = 0, 3, 6, and 9 subbands.

Resolving the origin of the petrogenic hydrocarbon background in Prince William Sound, Alaska.

The dominant sources of the petrogenic hydrocarbon background in benthic sediments of Prince William Sound, AK (PWS), site of the 1989 Exxon-Valdez oil spill, are eroding Tertiary shales and residues of natural oil seepage. Mass balance considerations and statistical analyses of hydrocarbon fingerprints independently indicate that coal contributes generally less than 1% of the polycyclic aromatic hydrocarbons (PAH) and chemical biomarkers in this background. This is environmentally significant because of presumed differences in the bioavailability of PAH in coal, seep oil residues, and shales.

Dietary ferric vs. ferrous iron in copper-deficient rats fed fructose-based diets.

Objective: This preliminary study was undertaken to determine whether the valence state of dietary iron affects signs associated with copper deficiency in rats fed fructose.

Methods: Rats were fed either copper-deficient or adequate diets containing 62% fructose as the sole dietary carbohydrate for 5 weeks. The mineral mixture contained equal concentration of either ferric or ferrous iron.

Effect of coenzyme Q10 supplementation on cardiac hypertrophy of male rats consuming a high-fructose, low-copper diet.

Administration of coenzyme Q10 to humans and animals has a beneficial effect on a number of cardiac diseases. The purpose of the present study was to determine if coenzyme Q10 treatment could ameliorate cardiac abnormalities associated with the carbohydrate x copper interaction in rats. Weanling male rats were provided with a copper-deficient diet (0.

Low dietary iron prevents free radical formation and heart pathology of copper-deficient rats fed fructose.

Two studies were conducted to determine whether hepatic iron overload in rats fed fructose plays a role in the exacerbation of the signs associated with copper deficiency. When fed the adequate iron diet (50 micrograms Fe/g), copper-deficient rats fed either fructose or starch exhibited hepatic iron overload of similar magnitude. However, only livers of copper-deficient rats fed fructose exhibited the presence of high peaks associated with an iron compound detected by electron spin resonance.

The severity of copper deficiency can be ameliorated by deferoxamine.

The present study was undertaken in order to determine whether hepatic iron overload plays a role in the exacerbation of copper deficiency. Weanling male Sprague-Dawley rats were fed a copper-deficient (0.6 microgram Cu/g) diet containing 62% fructose for 5 weeks.

Plastic sections and ultrastructural techniques in the evaluation of bone marrow pathology.

Discussion in this article is focused on the advantages and applications of plastic-embedded bone marrow biopsy sections in the evaluation of bone marrow pathology. Routine processing of bone marrow biopsy specimens for plastic embedding and electron microscopy is also briefly described.

Squamous cell carcinoma of the splenic flexure of the colon.

A partially obstructing lesion of the splenic flexure was discovered during a barium enema examination, and subsequent colonoscopy and biopsy demonstrated a squamous cell carcinoma. This is the first reported instance of squamous cell carcinoma of the colon in which the splenic flexure has been involved. The case is discussed, and the recent literature on this entity is reviewed.

Embedding in large plastic blocks. Diagnostic light and potential electron microscopy on the same block.

Specimens destined for light and electron microscopy were fixed in a modified buffered formalin, postosmicated, dehydrated, and embedded in a mixture of epoxy resins (Epon-araldite) in large plastic molds. These blocks were sectioned at 0.5 to 1 micron on a JB-4 microtome and stained with a combined nuclear and cytoplasmic stain (Paragon).

Lipolytic activity of human lingual glands (Ebner).

Human tongue preparations contain lipolytic activity similar to that present in human esophageal and gastric aspirates and in serous glands of rat tongue. The activity is present in homogenates of the glandular region (Ebner) beneath the cirumvallate papillae, and in secretions collected from the trough of the papillae. The lipolytic enzyme hydrolyzes long chain triglycerides to partial glycerides (di- and monoglyceride), glycerol, and free fatty acids at pH optimum 5.

Quinidine hepatotoxicity. A report of a case and review of the literature.

A case is described of presumed quinidine hepatotoxicity, characterized by the development of fever, abnormal serum transaminase values, which improved after cessation of the drug but recurred after a challenge dose, and centrizonal hepatocellular necrosis detected on liver biopsy. Morphological changes on electron microscopy, consistent with a drug reaction, are also described. Pertinent features of previous case reports are analyzed, and the histological findings by light microscopy of the present and past cases are discussed.