Guest Blog Post by Tad Theimer, NAU Professor of Biology Flagstaff is a city of science. We are literally surrounded by science. Up on Mars Hill there lies Lowell Observatory, to the north the Museum of Northern Arizona, the offices of the USGS, to the east and west the laboratories of GORE, to the south Northern Arizona University, the Rocky Mountain Research Station, TGen, the Naval Observatory, to mention but a few. So I stand here as a scientist in a city of scientists. How many of you out there are scientists? How many the family or friends of a scientist? It’s been said that you know you are a scientist when you wake up on a Saturday morning and think, “I could walk the dog, I could read the paper, I could go for a run, but what I really want to do is analyze that new data set, or sneak off to the lab for one more quick experiment.” And all your friends and families of scientists have seen that, you’ve seen them sneak out the door late at night or early in the morning. So we here all know that inside the breast of every scientist beats a heart as passionate, as driven, as that of any artist, musician or poet. Scientists do what they do because they can’t help themselves. They are driven by an unquenchable thirst for knowledge, by an insatiable hunger to understand the world. That relentlessness, that dogged curiosity, is something folks who haven’t been around scientists may not realize, and as a result they may underestimate the power that stands here today. Because that same passion, that same resolution, that scientists bring to doing science, scientists will also bring to defending science. And that is why we stood here last year, and why we stand here today and why we will be here next year, and the year after that, and the year after that! So we here in Flagstaff understand what science is, why it is important, and that we must help others understand the important role science plays in our lives. The speakers who went before me articulated that very well. But there is another point about science that we have to make folks understand. Scientists follow data to whatever truth they may lead, regardless of the implications that truth may have. And so scientists sometimes discover inconvenient truths, truths that make us have to question the way behave toward this earth, toward each other. Truths that are inconvenient because they come with costs. The cost of making sacrifices today so that our children and grandchildren can have a decent world to live in tomorrow. This is an important role scientists play, and I have been trying to think of a simple analogy to help folks understand that important role of science, so let me try this out on you: Let’s imagine that my inconvenient truth is that I only have $10 in my bank account. But because of this magical piece of plastic called a credit card, I can buy a car, I can buy fancy food and delicious drinks. And some of my friends will support me in ignoring my inconvenient truth because they like to ride in my car and drink my drinks and eat my food. But one or two of my friends will take me aside and say “Tad, what are you doing? You’re acting crazy! You only have ten bucks! If you keep this up you’re heading for financial ruin!” Now we all know which one of those friends is the most valuable. It’s the one with the courage to stand up and tell me the truth even though I didn’t want to hear it. And that’s what scientists do! They are the friends who stand up and tell us the truth even when we don’t want to hear it!! We are passing through dark days for science. Honesty, reliability, consistency, responsible conduct. These are the cornerstones of science. These are also the foundations of a civil society. Yet every day these ideas are mocked, denigrated, cast aside! We live in a time when integrity has been replaced with irresponsibility, where falsehoods hold the same credence as facts. It is no wonder that we sometimes feel dazed, in a world turned upside down. These are dark days, but we have seen darker. When I am most in despair for this world, I am reminded of Galileo, that great scientist who dared to follow his data to an inconvenient truth, that radical idea that the earth was not the center of the universe, fixed and immovable, but instead moved around the sun in its orbit. Today that seems like a ridiculously harmless fact, that the earth goes around the sun, but at the time, it was a very inconvenient truth, for it flew in the face of religious dogma. So at the age of 70, Galileo was dragged from his home, thrown in prison and eventually brought before the Inquisition in Rome, forced to kneel and to recant his life’s work, to state that the Earth was immobile and did not move in its orbit. But the story is told that as Galileo walked out of that room, he whispered under his breath, “and yet, it moves!” And so might we say to those who deny climate change today, “and yet, it changes!” You can ignore the truth for a while. You can walk away from the Paris climate accords, you can tell your administrators to strike out all references to human-caused climate change. You can confuse the electorate by saying climate change is still debated, that there is no consensus. You can ignore the National Academy of Sciences and 17 other scientific societies that have stated that human-caused climate change is real and needs to be addressed. You can ignore all that and build yourself a beautiful house of cards. But eventually that house of cards will fall. Scientists know this. Scientists understand the meaning of that old Buddhist saying: “There are three things in this world that cannot long be hidden: the sun, the moon, and the truth”!
Make no mistake, the walls of ignorance are strong, especially when reinforced by girders of greed and self-interest. But history has shown us that that stone of ignorance will yield to the cold, hard steel of science-based fact. It is for us today to follow in the footsteps of all those scientists and believers in science that went before us, to pick up those hammers of steel and bring them down on that rock of ignorance, knowing all the while that those walls will not fall to one blow, or to a thousand, but the point is to keep on hammering, to keep those hammers ringing. So I say, make those hammers ring here in Flagstaff, but also make ring so that they can be heard down in the statehouse in Phoenix. Make those hammers ring here in Flagstaff, but also make them ring so that they echo in the halls of congress back in Washington. Make those hammers ring here in Flagstaff, but most importantly, make those hammers ring so that they rattle the very walls of the White House! Make those hammers ring!
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Eleven high school students in the CAVIAT iCREATE bioscience class publicly presented their unique solutions to the authentic problem of tracking and reporting influenza-like illnesses in Coconino County. The presentations were held on March 7th at NAU's Center for Science Teaching and Learning. The students are in the second semester of this college-level course that earns credits from both Coconino Community College plus from Coconino High School or Flagstaff High School. The class meets after school for 2.5 hours each day from Monday to Thursday to learn the CTE (career and technical education) bioscience standards through an epidemiologic lens and with rich community involvement. Community partners include Coconino County Public Health Services District, North Country HealthCare, Northern Arizona Area Health Education Center, Northern Arizona Healthcare and TGen North. The students also gained assistance from Corryn Smith in using GIS technology for their reports. Instructors Dr. Aaron Tabor and Robert (Bobby) Woodruff co-teach the class at NAU. Both have extensive experience in research and education. They also include additional community partners for in-class presentations and field trips. Students have toured the Science and Health Building at NAU, the Center for Ecosystem Science and Society (ECOSS) laboratories, the Clinical and Pathology Laboratory at Flagstaff Medical Center, and more! The students study disease-causing agents as then use the tools necessary to determine what microbes cause the illnesses. The class includes biosafety skills, microbiology techniques, DNA extraction, separation and analysis. Students take an end-of-year test to demonstrate their knowledge and skills. Congratulations to all the students! And thank you to the community members that attended their presentations! NAU Provost and Vice President for Academic Affairs Dan Kain (Left), FUSD Assistant Superintendent for Curriculum and Instruction Mary K Walton (Center), and FUSD Superintendent Mike Penca (Right), all came to hear the student presentations and ask them questions about their unique solutions to this authentic community problem.
The 12 CAVIAT students in the iCREATE high school bioscience class at NAU are learning some basic Geographic Information Systems (GIS) skills to help track patient health for their epidemiology projects. Corryn Smith patiently teaches the students the basics of GIS. Corryn has presented to the class twice this fall, and will certainly be helping them again as they prepare their group projects.
Corryn is an Instructor for the Geography, Planning, and Recreation department at NAU. She received her MS in Applied Geospatial Sciences with a Planning and Recreation Emphasis in May 2017. Her Master's thesis research looked at using geospatial technologies to locate travel networks (Forest Service roads and trails) in Flagstaff. Her interests include: geospatial technologies and recreation, geospatial technologies and sustainable land management, GIS in education, and Python Programming for Women and Minorities. Thank you Corryn for your friendly and professional help! Dr. Darlene Lee, an anatomical and clinical pathologist with Northern Arizona Healthcare, led a tour of Clinical and Pathology Laboratory at Flagstaff Medical Center to the high school iCREATE students. The iCREATE class is unique in the pronounced role of community members to the success of the class. Dr. Lee gave a tour last year, highlighted here, and it was one of the most memorable tours for the class. She made this one even more hands-on with additional partners from FMC. Garn Bailey, Pathology Assistant, once again thoroughly engaged the students with a variety of human organs that he prepares for the pathologist to more critically analyze as needed. He dissected a gall bladder to show the gall stones, as well as a kidney that showed a cancerous area. He also went through the entire process of preparing thin sections from larger tissues and organs for analysis. The surgeons in the hospital rely on the Clinical and Pathology Laboratory to rapidly prepare and assess samples while some patients are in surgery; to make sure they have removed all cancerous cells, or to determine the specific pathogen. When that occurs, tissues are quickly put on ice and are then sliced thinly in a cryostat, which keeps the tissues frozen. They are then rapidly stained and assessed by the pathologist. This entire process can occur in 20 minutes so the surgeon is able to receive the information during surgery to improve the patient's outcome. The students then looked at blood samples with Dr. Lee. They were able to identify components of blood including white blood cells (leukocytes), red blood cells (erythrocytes), and platelets (thrombocytes). Platelets are tiny blood cells that help your body form clots to stop bleeding. She also showed them the image of the cancerous kidney tissue from the kidney Garn had shown them earlier. Students observed the hospital's blood supply with Jordan Ippolito, a Medical Lab Scientist at FMC. She told the students that the shelf life of platelets is only 5 days, while frozen plasma is good for a year. Red blood cells are only functionally sound for 40 days because their ability to carry oxygen (their primary role) is impaired after that. The importance of donating blood cannot be overstated! Two students volunteered to have their blood drawn so they could determine what blood type they are. Phlebotomist Troy Schafer cracked jokes with the students to put them at ease. Jordan then had the remaining students look at blood sample directly through the microscope so they could put their earlier practice to use. The final activity was to discuss what having blood types A,B, AB, or O really means, and then to complete the analysis of the blood types using the antigens that can cause blood to clot, depending on what the blood type is. Thank you again for the fascinating and educational tour of the Clinical and Pathology Laboratory at FMC! Special thanks to Dr. Darlene Lee, Garn Bailey, Jordan Ippolito and Troy Schafer! You are living up to your mission and goal; you definitely wowed us!
Guest Blog Post by Larry Hendricks, PR and Publications Coordinator, Coconino Community College CCC CAVIAT Students Focus on Health Professions
They’re taking college classes, but they’re still in high school. Not only that, but they’ve proved their mettle in problem solving in the health occupations, and they’re on their way to a statewide competition in April. Twelve students in Coconino Community College’s Dual Enrollment/CAVIAT BIO 298 class took exams on Creative Problem Solving through Health Occupation Students of America (HOSA). This class is taught by CCC Science Faculty and Bridges to Baccalaureate Principal Investigator Dr. Aaron Tabor, NAU Graduate Students and CCC Instructors Christina Baze and Bobby Woodruff. “Four of the students qualified to go to the state level,” Tabor said, adding that all of the students are equally intelligent and deserving of accolades. The team placed ninth overall. The four students, all 10th graders, are Cate Cole and Ethan Perelstein from Flagstaff Arts and Leadership Academy; and Kaleb Herrelko and Jacqueline Slack from Coconino High School. According to information from HOSA, its mission is to “promote career opportunities in the health care industry and to enhance the deliver of quality health care to all people.” The focus is on health science education and biomedical science programs to promote interest in pursuing careers in the health professions. To prepare for the exams, Slack said that the team began by reading books on creative problem solving and by researching various health-related problems in the community. Cole added that the team tested one another with problems as well as timing the testing for solutions. During testing, the team had 30 minutes to prepare and had 8 minutes to present their case in front of a panel to judge. They made the grade, and now they’re heading to Tucson for the statewide competition. “I personally am excited to meet other students like us, who are science minded,” Perelstein said. Herrelko added, “That could be fun.” Slack said, “I’m very excited to compete.” Cole said, “I’m really excited to see what we can come up with – real-world problems that affect millions across the globe.” The team members are part of the iCREATE High School Bioscience program. The class offers six credit hours from CCC to apply to a college degree. The students meet five days a week at the Center for Teaching and Learning at Northern Arizona University for lectures and labs. The program is offered through the Coconino Association for Vocations, Industry and Technology. “I love coming here and getting a taste of what college and medical school will offer,” Cole said. Perelstein said, “For me, this class is challenging, it’s engaging, and that’s what I really love.” Herrelko said, “I like the challenge and it requires more persistence.” Slack said, “I’m excited that every day after school, I get to be around science-oriented, like-minded people.” For Tabor, he said he thoroughly enjoys being the instructor for the class. “Frankly, it’s the students,” he said. “I never in a thousand years anticipated teaching K-12 students at all, but this group of students is one of the best I’ve ever encountered.” Tabor added that his job is to educate the students on the translational sciences and the epidemiology field, but he also is to assist them with their professional growth – creating curriculum vitaes, attending conferences, performing public speaking, seeking publication, and more. As for the state competition in April, Tabor said the students can go to the national level in the event if they are rank high enough for it. So, the journey may not be over for one or several of them after the state competition. And as for the future, all four team members have plans. Cole’s goal is to become a physician, an obstetrician. Perelstein is interested in mechanical engineering, particularly “biomimicry,” or solving problems through evolutionary processes. Herrelko is still exploring, but he knows he wants to be an engineer of some sort. Slack is dedicated to becoming a neurosurgeon. “We challenge one another and work to put our best foot forward as a team,” Perelstein said. The iCREATE HS Bioscience program is funded by a grant from the National Science Foundation. Community partners include CCC, CAVIAT, NAU, TGen North, North Country HealthCare, Coconino County Public Health Services District, and Flagstaff STEM City. Dr. Darlene Lee, an anatomical and clinical pathologist at Flagstaff Medical Center, led thirteen high school students in the iCREATE bioscience class on a fascinating tour of the Clinical and Pathology Laboratory at FMC on Monday, November 14th. Pathology is the study of disease, and a pathologist is a medical doctor (MD) who specializes in studying disease, including the source, extent, and cause of the disease in a patient. The students got to see many aspects of what this career entails. The students began the tour by seeing some of the high-tech diagnostic tools available to test patient samples. These included urinalysis, PCR, flow cytometry and light microscopy. Jane Talisman, one of the laboratory lead technicians, even did a rapid test from Cate’s mucosal sample to determine if she had MRSA. Read to the end of the post to find out the result! The students then watched Garn Bailey, the Pathologists’ Assistant, as he prepared to dissect an excised gall bladder. The students were able to touch the gall bladder to see what it felt like. The dissected gall bladder had several gallstones in it that were too large to exit the gall bladder on their own. A frozen tissue sample from a patient came in, and the tour immediately switched over to observing the pathology team process this sample for the surgeon and patient waiting for it in the operating room. The pathology team can receive and process a sample, and return a diagnosis to a surgeon, within 20 minutes. This intraoperative pathology consultation helps guide the surgeon through the remainder of the procedure, so the patient has a better outcome. Garn put the sample on the cryostat, a machine that keeps the sample frozen while shaving off very thin slices for placing on microscope slides. Audrey McMillon, a histotechnologist, then stained the samples with a specific stain to highlight what the surgeon needed to view. Histology is the study of the microscopic structure of tissues. There are four pathologists at FMC and one at Verde Medical Center. In order to become a pathologist, you need a four-year college degree, then a four-year medical school degree, and then you need to complete your pathology residency for another four years! If you want to do a subspecialty fellowship, that takes another 1-2 years. After the students completed the tour, Dr. Lee shared a presentation with three different case studies for the students to discuss. Just as Garn had previously, Dr. Lee reaffirmed that in order to recognize an abnormal pathology you need to know what the normal anatomy and histology looks like. During the cases, Dr. Lee asked the students what they thought, and what tests they would run to try and solve the case. At the end of the presentation, Cate got the results from her diagnostic test. We were all thrilled she did not have Methicillin-resistant Staphylococcus aureus, commonly known as MRSA! Note the sign above the door in the photo above. This important message reflects the commitment of the pathology team: Patients are our Purpose.
STEM City and the iCREATE collaborative thank Dr. Lee and the entire team in the Clinical and Pathology Lab for being such willing presenters, and for providing important and engaging information to the students. Thank you! The Girls on the Run season finale on November 11th at Coconino High School included a Hall of Heroes with many STEM professionals represented! Thank you so much to the following Wonder Women for participating in the 2016 Hall of Heroes! Medical professionals, Dr. Kate Preston, Dr. Margaret Donnelly and Clinical Pharmacist Randee Fullenwider, all shared their experiences in the medical field with the girls. Mechanical Engineer Beth Cooperrider, Lawyer Jennifer Mott, and Wildland Forest Fighter Maggie Knight shared their journeys and careers with the girls. Lowell Observatory Astronomers Dr. Lisa Prato and Dr. Deidre Hunter shared starry wonders, and Lisa Lamberson, owner of Mountain Sports, described the joys and challenges of running a successful store in downtown Flagstaff.
Thank you all for your contributions to empowering our young women through the Girls on the Run Hall of Heroes! Guest Blog by Marney Babbitt, NAHEC Youth Program Coordinator, Girls on the Run of Northern Arizona Council Director, North Country HealthCare In early June, 40 high school students from rural and underserved areas in Arizona attended the Future Health Leaders Summer Camp (FHL), including a Williams High School student from the iCREATE bioscience class. The camp was sponsored by the Northern Arizona, Eastern Arizona, Southern Arizona and Greater Valley Area Health Education Centers. This week long camp was hosted at the University of Arizona. FHL has a number of objectives:
Highlights this year included:
Our 2017 camp for current high school students will be held at Northern Arizona University in June of 2017. Applications will be available in early 2017. Please contact Marney Babbitt (mbabbitt@nchcaz.org) for more information. Guest Blog by Dave Engelthaler, Originally published for the Northern Arizona Leadership Alliance in the Flagstaff Business News - November 10, 2015 As hopefully most readers know, Flagstaff declared itself as America’s first STEM Community in 2012. STEM (the ubiquitous acronym for Science, Technology, Engineering and Math) is commonly discussed in our schools, in academia and in workforce development as a goal for literacy in the 21st Century. In Flagstaff, we have a wealth of STEM resources in our businesses (e.g., Gore & Assoc., SenesTech, Machine Solutions, Northern Az Healthcare, etc.) and research institutions (e.g., Lowell Observatory, TGen North, Museum of Northern Arizona, etc.), let alone NAU and Coconino Community College. In the fall of 2012, Flagstaff Forty, now known as the Northern Arizona Leadership Alliance, initiated a community conversation and ensured a community commitment to using these resources to support and improve our local schools’ ability to achieve STEM literacy for all students.
Over past several years, our STEM City has grown in stature and success. We are continually held as a model for community leadership and collective action on STEM. The reasons are numerous but some of the highlights include: having a community board dedicated to advancing all STEM in the community; having the annual celebration of the STEM Teacher, Leader and Student of the Year; the Superbowl of STEM Event held annually in NAU’s Skydome, which brings out nearly 10% of the city’s population; Flagstaff’s Festival of Science, the longest running one of its kind in the nation; and most importantly the abundant activities and interactions between students, teachers and local scientists and engineers, which end in unparalleled STEM learning opportunities and radical inspiration of hundreds to thousands of our students. Now, we are moving to the next level of community engagement – coordinated community impact. Rather than just one-on-one interfaces with STEM businesses and classrooms, we have now moved to a model of having multiple businesses work with academia and multiple schools on a coordinated program to educate and enrich both the students and the community. Through the leadership at NAU’s Center for Science Teaching and Learning, the National Science Foundation has recently awarded a three-year $840K grant to build a yearlong Bioscience course for Flagstaff high schoolers. NAU has brought together TGen North, North Country Healthcare, the County Public Health department, Flagstaff Unified Schools District, the Coconino Association for Vocations Industry and Technology (CAVIAT) and the STEM City Center to build a real-world problem solving bioscience course for CAVIAT students, 44% of which are Native American. The vision for this program encompasses outlying county schools as well. Where else would high school students get to work closely with doctors, nurses, epidemiologists, and genomic scientists on development of a tool to detect and track influenza-like illness in their schools and neighborhoods? Where else but our STEM City. The Northern Arizona Leadership Alliance strongly encourages all community members to join the movement towards a stronger, more sustainable 21st Century economy but supporting STEM literacy. Find more information here! Flagstaff Medical Center’s Future Health Leaders Summer Camp Flagstaff Medical Center, a member of Northern Arizona Healthcare, held its first Future Medical Leaders summer camp for high school students from Monday, July 6, through Thursday, July 9. The event, sponsored by Patient and Family Experience Services, was designed for incoming high school freshmen through senior students interested in becoming healthcare professionals. More than 40 students applied to attend the camp, but only 24 were selected to participate. There were nineteen young women and five young men representing five high schools in Flagstaff (Coconino High School, Flagstaff High School, BASIS Flagstaff, Flagstaff Arts and Leadership Academy and Northland Preparatory Academy) as well as one home-schooled student. The students spent the week attending lectures about contemporary healthcare topics; visiting different departments and discussing ethical issues. They met with Rob Thames, NAH’s president and CEO, and spent time with physicians, nurses and other colleagues who care for patients. They also participated in hands-on activities, such as a trauma lab, where they practiced patient-care scenarios and learned CPR and first-aid. On the last day of camp, they worked on their public speaking skills and developed basic resumes. Flagstaff Medical Center is a member of Northern Arizona Healthcare, which also provides healthcare services through Verde Valley Medical Center, Team Health, Verde Valley Medical Clinic, Cancer Centers of Northern Arizona Healthcare, EntireCare Rehab & Sports Medicine, Fit Kids of Arizona, Guardian Air, Guardian Medical Transport, Heart & Vascular Center of Northern Arizona, Northern Arizona Homecare, Northern Arizona Hospice and Valley View Care. For more information on Flagstaff Medical Center programs and services, visit FlagstaffMedicalCenter.com. “Like” FMC at Facebook.com/FlagstaffMedicalCenter. Thank you to Patient and Family Experience Services at NAH who hope to host this event again next year. And a special thank you to Sophia Papa, Public Relations with Northern Arizona Healthcare, for the primary writing of this post.
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