This article reviews the cause, clinical presentation, diagnostic methods, and management of osteosarcoma, the most common primary bone tumor and third most common cancer among children and adolescents. In the 1970s, the introduction of adjuvant chemotherapy following tumor resection improved overall 10-year survival from 30% to about 50% of patients. However, since that change in management strategy, the survival rate has since plateaued, with no improvement in overall 10-year survival since the 1990s. A better understanding of this disease is the first step to help improve these numbers.

This narrative study identified service barriers from the perspectives of 16 Black lesbian survivors of intimate partner violence (IPV). Qualitative analysis revealed diverse interrelated barriers similar to those identified by service providers in a previous study by the authors, including societal barriers such as heterosexism, and institutional barriers such as ambiguous policy. Results indicate that the theory of intersectionality is best poised to frame an investigation of the complex barriers encountered by these survivors. Resultsalso demonstrate that although these women desire to receive services, current inequities prevent them from accessing support and further endanger, victimize, and isolate them. Strategies for improving services and reaching culturally diverse survivors are also discussed.

Keeping It Wild 2 is an interagency strategy to monitor trends in selected attributes of wilderness character based on lessons learned from 15 years of developing and implementing wilderness character monitoring across the National Wilderness Preservation System. This document updates and replaces Keeping It Wild: An Interagency Strategy for Monitoring Wilderness Character Across the National Wilderness Preservation System (Landres and others 2008), and provides a foundation for agencies to develop a nationally consistent approach to implement this monitoring. This monitoring strategy addresses two questions: How do stewardship activities affect attributes of wilderness character? How are attributes selected as integral to wilderness character changing over time within a wilderness, within an agency, and across the National Wilderness Preservation System? The primary audiences for the information from this monitoring are agency staff who manage wilderness day-today , and regional and national staff who develop wilderness policy and assess its effectiveness. The results of this monitoring will provide these staff some of the key data they need to improve wilderness stewardship and wilderness policy. Keeping It Wild 2 is designed to be nationally consistent across the four wilderness managing agencies and locally relevant, to be cost-effective, and to facilitate communication across the many resource programs that are responsible for preserving wilderness character. Implementing this monitoring strategy does not guarantee the preservation of wilderness character, but it informs and improves wilderness stewardship, and ensures managers are accountable to the central mandate of the 1964 Wilderness Act-to preserve wilderness character.