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1.
Public Health Nurs ; 38(2): 248-257, 2021 03.
Article in English | MEDLINE | ID: mdl-32876353

ABSTRACT

Days after COVID-19 physical distancing precautions were implemented, a coalition of community leaders in Baltimore City founded the Baltimore Neighbors Network (BNN), a volunteer network established to provide proactive phone-based support to older adults in Baltimore City. BNN was a community-driven approach aimed at reducing social isolation and improving health equity both during the pandemic and long-term. This paper describes how the Johns Hopkins School of Nursing's (JHUSON) public health nursing clinical faculty and students partnered with BNN to support a community-driven crisis response effort while creatively meeting student learning objectives. While engaging in the work of BNN remotely, nursing students were able to meet competencies across all eight domains of the Quad Council Coalition of Public Health Nursing Organizations. Schools of Nursing throughout the country can use this partnership as a model of a service-learning strategy for public health nursing education during a crisis.


Subject(s)
COVID-19/epidemiology , Community-Institutional Relations , Public Health Nursing/education , Schools, Nursing/organization & administration , Aged , Baltimore/epidemiology , Humans , Learning , Nursing Education Research , Nursing Evaluation Research , Students, Nursing/psychology
2.
Australas Psychiatry ; 28(1): 101-105, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31535561

ABSTRACT

OBJECTIVE: To increase the provision of clinical skills training during their psychiatry placement by providing a new teaching course to enhance both their clinical knowledge and communication skills. METHOD: We delivered a pilot teaching course consisting of five workshops (incorporating facilitated, 'near peer' role-play) during the students' psychiatry placement. Qualitative and quantitative feedback was collected pre- and post-course to allow for development of the course. RESULTS: Data collected indicated that all students found the course a valuable addition to their usual teaching. They indicated that their confidence in their ability to assess patients with common clinical problems improved. CONCLUSIONS: This trainee-led course was easily integrated into the curriculum and received positive feedback from students. It may have enhanced students' confidence and readiness for exams but this will require further examination of objective assessments and ongoing research to establish this.


Subject(s)
Clinical Competence , Curriculum , Education, Medical, Undergraduate/standards , Psychiatry/education , Quality Improvement/standards , Adult , Female , Humans , Male , Students, Medical , Young Adult
3.
Cancer Res ; 79(3): 467-481, 2019 02 01.
Article in English | MEDLINE | ID: mdl-30487138

ABSTRACT

Genome-wide association studies have identified 40 ovarian cancer risk loci. However, the mechanisms underlying these associations remain elusive. In this study, we conducted a two-pronged approach to identify candidate causal SNPs and assess underlying biological mechanisms at chromosome 9p22.2, the first and most statistically significant associated locus for ovarian cancer susceptibility. Three transcriptional regulatory elements with allele-specific effects and a scaffold/matrix attachment region were characterized and, through physical DNA interactions, BNC2 was established as the most likely target gene. We determined the consensus binding sequence for BNC2 in vitro, verified its enrichment in BNC2 ChIP-seq regions, and validated a set of its downstream target genes. Fine-mapping by dense regional genotyping in over 15,000 ovarian cancer cases and 30,000 controls identified SNPs in the scaffold/matrix attachment region as among the most likely causal variants. This study reveals a comprehensive regulatory landscape at 9p22.2 and proposes a likely mechanism of susceptibility to ovarian cancer. SIGNIFICANCE: Mapping the 9p22.2 ovarian cancer risk locus identifies BNC2 as an ovarian cancer risk gene.See related commentary by Choi and Brown, p. 439.


Subject(s)
Carcinoma, Ovarian Epithelial/genetics , Chromosomes, Human, Pair 9 , Ovarian Neoplasms/genetics , Base Sequence , Cell Cycle Proteins/genetics , Cell Line, Tumor , Chromosome Mapping , Cystadenocarcinoma, Serous/genetics , DNA, Neoplasm/genetics , DNA-Binding Proteins/genetics , Female , Genetic Predisposition to Disease , Genome-Wide Association Study , HEK293 Cells , Humans , Linkage Disequilibrium , Polymorphism, Single Nucleotide
4.
Nat Protoc ; 11(1): 46-60, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26658467

ABSTRACT

This protocol provides a rapid, streamlined and scalable strategy to systematically scan genomic regions for the presence of transcriptional regulatory regions that are active in a specific cell type. It creates genomic tiles spanning a region of interest that are subsequently cloned by recombination into a luciferase reporter vector containing the simian virus 40 promoter. Tiling clones are transfected into specific cell types to test for the presence of transcriptional regulatory regions. The protocol includes testing of different single-nucleotide polymorphism (SNP) alleles to determine their effect on regulatory activity. This procedure provides a systematic framework for identifying candidate functional SNPs within a locus during functional analysis of genome-wide association studies. This protocol adapts and combines previous well-established molecular biology methods to provide a streamlined strategy, based on automated primer design and recombinational cloning, allowing one to rapidly go from a genomic locus to a set of candidate functional SNPs in 8 weeks.


Subject(s)
Enhancer Elements, Genetic/genetics , Genetic Loci/genetics , Genomics/methods , Base Sequence , Cell Line , Genomics/instrumentation , Humans , Polymorphism, Single Nucleotide/genetics
5.
Nat Genet ; 45(4): 362-70, 370e1-2, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23535730

ABSTRACT

Genome-wide association studies (GWAS) have identified four susceptibility loci for epithelial ovarian cancer (EOC), with another two suggestive loci reaching near genome-wide significance. We pooled data from a GWAS conducted in North America with another GWAS from the UK. We selected the top 24,551 SNPs for inclusion on the iCOGS custom genotyping array. We performed follow-up genotyping in 18,174 individuals with EOC (cases) and 26,134 controls from 43 studies from the Ovarian Cancer Association Consortium. We validated the two loci at 3q25 and 17q21 that were previously found to have associations close to genome-wide significance and identified three loci newly associated with risk: two loci associated with all EOC subtypes at 8q21 (rs11782652, P = 5.5 × 10(-9)) and 10p12 (rs1243180, P = 1.8 × 10(-8)) and another locus specific to the serous subtype at 17q12 (rs757210, P = 8.1 × 10(-10)). An integrated molecular analysis of genes and regulatory regions at these loci provided evidence for functional mechanisms underlying susceptibility and implicated CHMP4C in the pathogenesis of ovarian cancer.


Subject(s)
Cystadenocarcinoma, Serous/etiology , Genetic Loci/genetics , Genetic Predisposition to Disease , Ovarian Neoplasms/etiology , Polymorphism, Single Nucleotide/genetics , Case-Control Studies , Cooperative Behavior , Cystadenocarcinoma, Serous/pathology , Female , Gene-Environment Interaction , Genome-Wide Association Study , Genotype , Humans , Meta-Analysis as Topic , Neoplasm Invasiveness , Ovarian Neoplasms/pathology , Risk Factors
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