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The article features an analytic protocol for examining controversial criminal cases in critical thinking courses. The rubric has been designed to be useful to busy critical thinking teachers who wish to draw on student interest in true crime. Six guidelines are presented that are intended to provide the instructor with a convenient scheme for quickly and easily framing classroom discussions. Due to their generality, the guidelines can be readily applied to a wide-range of cases, giving educators a high degree of flexibility in the selection of criminal affairs. [ABSTRACT FROM AUTHOR]

This study focuses on the economic value and carbon benefits of riparian buffers in urban drinking water production. The impact of riparian buffers on the waterworks operation in the Raccoon River watershed was quantified using the following metrics: nitrate concentration, days of nitrate removal operation, material and energy cost (based on 17 years of historical records with a watershed model), regression, and cost analysis. The findings indicate that the presence of riparian buffers in agricultural land can substantially decrease nitrate concentration in the water intake of the waterworks during the crop‐growing season: 19% in April, 9% in May, and 11% in June. These reductions mean less nitrate treatment of the plant intake flow: 23% in April, 12% in May, and 3% in June. These changes lead to significant resource savings: 425 metric tons of sodium chloride (NaCl), 147 810 kWh of electricity, 253 metric tons of powdered activated carbon, and 20.8 million liters of fresh water. The buffers would also reduce greenhouse gas emissions by 86.9 metric tons (CO2 equivalent) in 17 years. The total cost saving was estimated at $327 326, with the highest potential savings in May ($215 100), followed by April ($65 465), and June ($46 761). When factoring in buffer installation, cropland loss, nitrate removal, and cost associated with buffer harvest for biofuel in an established biomass market, the benefit to the entire watershed community would be $2.63 million annually. The results underscore the significant cost benefits and environmental benefits associated with cropland riparian buffers in a watershed community. The approach employed in this study holds promise for assessing riparian buffer benefits in other watersheds, contributes to an understanding of sustainable water management practices, and provides a basis for decision making in a wide range of agricultural regions. [ABSTRACT FROM AUTHOR]

Background/aims: Medication non-adherence is a leading cause of transplant rejection, organ loss, and death; yet no rigorous controlled study to date has shown compelling clinical benefits from an adherence-improving intervention. Non-adherent patients are less likely to participate in trials, and therefore, most studies enroll a majority of adherent patients who do not stand to benefit from the intervention, as they do not have the condition (non-adherence) under investigation. The improving Medication Adherence in adolescent Liver Transplant recipients trial specifically targets non-adherent patients to investigate whether a remote intervention to improve adherence results in reduced incidence of biopsy-confirmed rejection. Methods: Improving Medication Adherence in adolescent Liver Transplant is a randomized single-blind controlled multisite, multinational National Institutes of Health-funded trial involving 13 pediatric transplant centers in the United States and Canada. An innovative, objective adherence biomarker—the Medication Level Variability Index, which is the standard deviation of a series of medication blood levels for each patient, is used to identify non-adherent patients at risk for rejection. The index is computed using electronic health record information for all potentially eligible patients based on repeated reviews of the entire clinic's roster. Identified patients, after consent, are randomized to intervention versus control (treatment as usual) arms. The remote intervention is delivered for 2 years by trained interventionists who reside in various locations in the United States. The primary outcome is the incidence of biopsy-confirmed acute cellular rejection, as confirmed by a majority vote of three pathologists who are masked to the study allocation and clinical information. Discussion: Improving Medication Adherence in adolescent Liver Transplant includes several innovative design elements. The use of a validated, objective adherence index to survey a large cohort of transplant recipients allows the teams to avoid bias inherent in both convenience sampling and referral-based recruitment and enroll only patients whose computed index indicates substantially increased risk of rejection. The remote intervention paradigm helps to engage patients who are by definition hard to engage. The use of an objective, masked medical (rather than behavioral) outcome measure reduces the likelihood of biases related to clinical information and ensures broad acceptance by the field. Finally, monitoring for potential adverse events related to increased medication exposure due to the adherence intervention acknowledges that a successful intervention (increasing adherence) could have detrimental side effects via increased exposure to and potential toxicity of the medication. Such monitoring is almost never attempted in clinical trials evaluating adherence interventions. [ABSTRACT FROM AUTHOR]

Although American higher education has arguably been the setting for a number of different culture wars, the one now being waged goes to the very heart and soul of the university as an institution. Like most wars, it has usually involved two opposing camps. On one side of this conflict are the traditionalists, who see themselves as defending the hard-won faculty prerogatives of academic freedom, tenure, and shared governance. On the other side are the modernizers, who believe that higher education should be run more like a business in order to meet the challenges of a new era. In this culture war, the traditionalists are often portrayed as academic Luddites who are keen on turning back the clock and maintaining their privileges despite the sea change that higher education has undergone since 1945. The traditionalists often respond by making their stand on the basis of academic freedom, arguing that the erosion of tenure and shared governance will create a slippery slope that will ultimately result in the loss of freedom in teaching and research. Although academic freedom is certainly linked to tenure and shared governance, the author argues that its preservation may not constitute the best grounds for the traditionalists' conception of the university. In this article, the author argues for the adoption of a communitarian model of academic governance and suggests the communitarian alternative to the corporate model which calls for a careful readjustment of how those occupying different offices and roles in the university relate to one another.