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The Michigan Diaries (MI Diaries) project was developed from late March to early April of 2020, in the early days of the COVID-19 pandemic. MI Diaries is a longitudinal sociolinguistic project, collecting “audio diaries” from participants throughout the pandemic and beyond. As a research project designed to obtain personal narratives from a time of deep anxiety and pain, and during a time where face-to-face data collection was not feasible, MI Diaries was confronted from the outset with a substantial set of both ethical and practical considerations. In this paper, we describe some of these challenges, and our false starts and eventual solutions in response. Throughout, we highlight decisions and methods that may be applicable for future researchers conducting remote fieldwork, navigating a speech community during a disaster, or both.

Although abdominal trauma remains a major cause of morbidity and mortality, there has not been a large-scale multicenter study regarding outcomes in patients who incur mesenteric vascular injuries. The goal of this retrospective analysis was to investigate the factors associated with outcomes in patients with trauma diagnosed with mesenteric vascular injuries.A retrospective database analysis was performed on patients who sustained a mesenteric vascular injury (MVI, ICD-9 902.20-902.29) identified by the 2012 National Trauma Data Bank. Data were analyzed to identify differences in hospital length of stay, emergency room (ER) and final hospital disposition, and mortality based on patient age, gender, race, Injury Severity Score (ISS), and injury type (blunt or penetrating).Of the 1,133 total patients included, blunt trauma accounted for 740 (65%) of the injuries, whereas penetrating trauma accounted for 364 of the injuries (32%). Patients with penetrating injuries were 1.43 times more likely to die from their injuries than those suffering from blunt trauma (95% CI 1.04-1.98, P 0.05). Patients with a higher ISS (16) were 5.39 times more likely to die from their injuries than those with a lower ISS (95% CI 1.89-15.4, P = 0.002); if ISS was25, the patient was 15.1 times more likely to die (95% CI 5.5-41.7, P 0.001). Men were more likely to suffer from penetrating injuries than women (37% vs. 13%, P 0.001), and African Americans were nearly 4 times more likely to present with penetrating injuries (69% vs 17%, P 0.001). Age was also associated with mortality as patients65 years and between 21 and 44 years were more likely to die from their injuries than patients in other age categories. Of the 740 patients with blunt MVIs, 326 (44%) were taken directly from the ER to the operating room (OR) and 306 (41%) to the intensive care unit (ICU), whereas with penetrating MVIs, 311 (85%) were taken to the OR from the emergency department and 18 (5%) to the intensive care unit. Of the 740 blunt MVIs, 115 died (16%), compared with 76 (21%) of the penetrating MVIs (P 0.001). Injuries to the hepatic and superior mesenteric arteries were associated with higher mortality, with OR 2.03 and 3.03, respectively (P 0.001).The presence of mesenteric arterial injury warrants rapid identification and management as these injuries are associated with significant morbidity and mortality, with penetrating mechanism, injury to large mesenteric vessels, and increased ISS associated with increased mortality.

A previous panel study of 59 speakers of Montreal French showed an increase in inflected futures (IF) at the expense of periphrastic futures (PF) as this population aged, running counter to the direction of historical change: reduction of IF. Matching two samples of speakers across the same time interval by age and social characteristics, the current trend study investigates whether or not this increase reflects retrograde change in the speech community. Results show community stability over the same period, confirming the earlier age grading interpretation and disconfirming any possibility that the disappearance of IF may be reversing. We propose that this pattern of retrograde lifespan change may emerge from a combination of social forces typically found in late stages of language change, with concomitant stylistic effect. Further, such a pattern may suggest the mechanism that creates a very long tail for retreating variants.

IntroductionMore than 93,000 cases of coronavirus disease (COVID-19) have been reported worldwide. We describe the epidemiology, clinical course, and virologic characteristics of the first 12 U.S. patients with COVID-19.MethodsWe collected demographic, exposure, and clinical information from 12 patients confirmed by CDC during January 20–February 5, 2020 to have COVID-19. Respiratory, stool, serum, and urine specimens were submitted for SARS-CoV-2 rRT-PCR testing, virus culture, and whole genome sequencing.ResultsAmong the 12 patients, median age was 53 years (range: 21–68); 8 were male, 10 had traveled to China, and two were contacts of patients in this series. Commonly reported signs and symptoms at illness onset were fever (n=7) and cough (n=8). Seven patients were hospitalized with radiographic evidence of pneumonia and demonstrated clinical or laboratory signs of worsening during the second week of illness. Three were treated with the investigational antiviral remdesivir. All patients had SARS-CoV-2 RNA detected in respiratory specimens, typically for 2–3 weeks after illness onset, with lowest rRT-PCR Ct values often detected in the first week. SARS-CoV-2 RNA was detected after reported symptom resolution in seven patients. SARS-CoV-2 was cultured from respiratory specimens, and SARS-CoV-2 RNA was detected in stool from 7/10 patients.ConclusionsIn 12 patients with mild to moderately severe illness, SARS-CoV-2 RNA and viable virus were detected early, and prolonged RNA detection suggests the window for diagnosis is long. Hospitalized patients showed signs of worsening in the second week after illness onset.

The public archaeology of death has frequently focused on the ethics and practices of excavating, displaying and curating human remains and mortuary contexts. Yet the focus of investigation is often restricted to whole, articulated bodies and tangible, complete monuments. Far fewer discussions have tackled the complex challenges of engaging the public with fragmented, partial human remains, ephemeral mortuary material cultures and dislocated funerary monuments. Equally, few studies have tackled the distributed nature of mortuary and memorial traces through their artistic representation and replication. This article addresses the challenges of Project Eliseg’s (2010–present) public archaeology when fragmentation, absence and distribution – both temporally and spatially – pervade the mortuary and memorial archaeology under investigation. We address how the public outreach of our fieldwork both succeeded and faced challenges to engage local people with the monument itself, partly because the monument is fragmented in multiple regards and partly because it is not primarily or exclusively in situ, but is instead both materially and conceptually elsewhere within the landscape of Wales and beyond.

School nurses play a major role in the care of students with food-related diversities balancing responsibilities such as providing a safe environment, encouraging leadership and community outreach, giving guidance to family and peers with care coordination, and providing needed accommodations so that all students may thrive in the school setting. It is essential that school nurses share their understanding of what it is like to live with the serious genetic autoimmune disorder known as celiac disease. With improved knowledge, the school education team, nutritional staff, and guidance counselors will have a better understanding of what the student is facing and the unique challenges it presents, because celiac disease is not a food allergy, but much more.

This chapter examines teachers' decision-making processes of selecting and implementing inclusive literature, especially in relation to children with disabilities, in their teaching practices. Inclusive literature celebrates diversity helping the individual see himself as well as others. Inclusive literature educates everybody about everyone, and books can help reduce prejudice. Diversity in literature impacts how children view disability and allows them to understand society. Realistic portrayals of a character with a disability can have positive impact on attitudes of students without disabilities towards peers with disabilities. The chapter will address effective strategies for selecting relevant and appropriate stories and books. In addition, the chapter will address effective strategies for using inclusive literature.

The aim of this study was to characterize the outcomes of traumatic abdominal and pelvic vascular injuries. Using the 2012 National Trauma Data Bank, we identified 5858 patients with major abdominal and/or pelvic vascular injury. Patients were stratified by age group, gender, race, Injury Severity Score (ISS), and mechanism of injury. We evaluated the percentage of patients with blunt and penetrating trauma by demographic and correlated the mechanism of injury to the ISS score, emergency room disposition, and hospital disposition. We performed a logistic regression analysis to calculate predictors of death. In the final cohort, 1458 patients (25%) with abdominal/pelvic vascular injury died of trauma. In total, 3368 patients (57%) had a blunt mechanism of injury, whereas 2353 (40%) were victims of a penetrating trauma. Patients with penetrating injuries were 1.72 times more likely to die from their injuries than those with blunt traumas. Patients with higher ISS scores (>16) were more likely to die from their injuries than patients with lower ISS scores. Men were more likely to experience a penetrating vascular injury than women (48% vs 17%). Similarly, 77 per cent of black patients had a penetrating mechanism of injury compared with 20 per cent of white patients. There were 1910 patients with penetrating injuries (81%) that went immediately from the emergency room to the OR, compared with 1287 patients with blunt injuries (38%). Of the patients with blunt injuries, 695 (21%) died, whereas 727 (31%) patients with penetrating injuries died. Abdominal and pelvic traumatic vascular injuries carry a high mortality rate. Penetrating mechanism of injury, ISS score, and race are independent predictors of mortality.

Discourse markers (like, I don't know, etc.) are known to vary in frequency across English dialects and speech settings. It is difficult to make meaningful generalizations over these differences, since quantitative discourse-pragmatic variation studies ‘lack [a] coherent set of methodological principles’ (Pichler 2010:582). This has often constrained quantitative studies to focus on the form, rather than the function of discourse-pragmatic features. The current article employs a novel method for rigorously identifying and quantifying the referential function (set-extension) of general extenders (GEs), for example,and stuff like that, or whatever. We apply this method to GEs extracted from three corpora of contemporary North American English speech. The results demonstrate that, across varieties, (i) referential GEs occur at a comparable proportional rate in vernacular speech, and (ii) referential GEs are longer than nonreferential GEs. Collectively, these findings represent a step towards comparative quantitative studies of GEs' functions in discourse. (Discourse-pragmatic variation, general extenders, methodological approaches, American English, Canadian English)

The Greater Sudbury Area is approximately 400 km north of the city of Toronto and falls within a large number of temperate lakes of various sizes. This area has been mined for nickel and other metals for several decades. These activities have affected the watersheds of Northern Ontario and have influenced the chemistry of a number of lakes. Blooms of cyanobacteria occur yearly in several lakes, mainly in the early and late summer months. Much of the chemistry of these lakes is known but the nature of the cyanobacterial blooms and the factors that may contribute to their sudden appearance are not. We sampled blooms from five Greater Sudbury Area lakes and identified the species present by morphological and molecular methods. The dominant genera present as characterized by morphological examination were Synechocystis, Leptolyngbya, Anabaena, Cyl-indrospermum, Nostoc, Borzia, Phormidium, Pseudoanabaena, Oscillatoria, and Planktothrix. Three of these isolates, Leptolyngbya, Anabaena, and Planktothrix were confirmed by partial rRNA sequence analysis.

The rhythmic pattern of heart activity, heart rate variability (HRV), was used in this pilot study to evaluate quantitatively the autonomic nervous system of humans involved in an equine-assisted coaching session. HRV is responsive to states of human caring which include the experience of compassion, kindness, and empathy in humans and animals. Results indicated that emotions in humans impact their psycho-physiological state and resulted in healthy HRV patterns. This effect was enhanced in the presence of horses during triad-coaching sessions. The study signals that integrating coaching with horses can be a catalyst for healthful benefits associated with human caring.