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Recent research has highlighted the cognitive, physical, emotional, and spiritual benefits of sport and physical activity participation for Indigenous youth (McHugh, Coppola, & Sinclair, 2013; Hanna, 2009; Lavallée, 2007). Despite the importance of Indigenous peoples participating in sport and physical activity (e.g., Forsyth & Giles, 2013), the meaning of youth development in this context is not well understood. The purpose of this research was to understand Indigenous youth development within the context of sport and physical activity through the voices, stories and experiences of Indigenous youth. Participants were 99 Indigenous youth (52 males and 47 females) between the ages of 15 and 25 years who took part in one of 13 sharing circles. Each of the sharing circles was facilitated by a trained Indigenous youth with guidance from an Elder/Traditional person. A Two-Eyed Seeing approach (Bartlett, Marshall, & Marshall, 2012) was used to analyze the sharing circle discussions. This analytical process involved an initial inductive thematic analysis of the transcribed verbatim data followed by an Indigenous symbolic visual analysis of emerging themes using the Medicine Circle. Results revealed that involvement in sport and physical activity impacted Indigenous youth physically, cognitively, and emotionally. The spiritual impact was not as evident. Findings from the research will inform the development of a measure of Indigenous youth development within sport and physical activity settings.

Contemporary departments in academic medical centers face challenging obstructions to the sometimes conflicted missions of education, research, and patient care. While the ward demands of patients and families have remained stable or increased, the availability of both attending faculty and residents has often decreased due to the requirements of relative value unit production and trainee duty hour limitations. The Department of Neurological Surgery at the University of Washington has evolved a novel solution to provide senior level attending coverage and bedside mentoring to help fill these gaps.

In the United States, more than $16 billion annually is spent managing patients with severe sepsis and its sequelae. Insight into the inflammatory response, endothelial tissue, and the coagulation cascade suggest promising new treatment regimens that limit morbidity and mortality due to sepsis and multisystem organ failure. This article will discuss new information regarding the pathophysiology of the inflammatory response and sepsis. Current thoughts on clinical management and a promising new agent, Activated Protein C, will be presented.