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During January-August 2021, the Community Prevalence of SARS-CoV-2 Study used time/location sampling to recruit a cross-sectional, population-based cohort to estimate SARS-CoV-2 seroprevalence and nasal swab sample PCR positivity across 15 US communities. Survey-weighted estimates of SARS-CoV-2 infection and vaccine willingness among participants at each site were compared within demographic groups by using linear regression models with inverse variance weighting. Among 22,284 persons >2 months of age and older, median prevalence of infection (prior, active, or both) was 12.9% across sites and similar across age groups. Within each site, average prevalence of infection was 3 percentage points higher for Black than White persons and average vaccine willingness was 10 percentage points lower for Black than White persons and 7 percentage points lower for Black persons than for persons in other racial groups. The higher prevalence of SARS-CoV-2 infection among groups with lower vaccine willingness highlights the disparate effect of COVID-19 and its complications.
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COVID-19 , Vacunas , Adulto , Niño , Humanos , COVID-19/epidemiología , SARS-CoV-2 , Estudios Transversales , Prevalencia , Estudios SeroepidemiológicosRESUMEN
Complex structural and social factors have created health inequities for Black sex workers. Black people, including those engaged in transactional sex, report leaning on spiritual beliefs to guide health-related decision-making, including whether to get the COVID-19 vaccine. Public health nurses can improve the health of Black sex workers through culturally safe care, which may include a community-stated vision of spiritual support. (Am J Public Health. 2022;112(S3):S288-S291. https://doi.org/10.2105/AJPH.2022.306836).
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COVID-19 , Trabajadores Sexuales , Población Negra , COVID-19/prevención & control , Vacunas contra la COVID-19 , Chicago , HumanosRESUMEN
In Chicago, Black men who have sex with men (MSM) and transgender and gender nonconforming (TGNC) individuals experience higher rates of HIV diagnoses. The Southside of Chicago has a thriving house ball culture powered by MSM and TGNC individuals who are disproportionately impacted by HIV. While this community has a history of facilitating health promotion at their events, gaps exist in community-empowered education specific to this community. Through partnership between nursing students from University of Illinois Chicago (UIC) and leaders from the Southside Health Advocacy Resource Partnership (SHARP) and the University of Chicago Center for HIV Elimination (CCHE), we aimed to reduce health disparities experienced by the Black MSM/TGNC community in Chicago. We promoted COVID-19 vaccinations and obtained funding for a community-led project to reduce HIV-related stigma. Our team consisted of two community leaders, seven students, and two professors. We met weekly during the development stages and detailed notes were maintained by students and updated with next steps. Four months of collaboration demonstrated how nursing coursework can facilitate community-academic partnership and yielded a COVID-19 viral vaccination promotion video, community administration of vaccines, and SHARP's procurement of funding to implement a project to reduce HIV-related stigma. Students learned the importance of community leaders' presence when bringing health care to communities. Community leaders learned to communicate population needs and best utilize students as a resource. Enriching nursing curriculum using an integrated service-learning format offers the opportunity for student development while simultaneously serving the community.
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This study examined the impact of soil filtration on water quality for reclaimed water from two municipal wastewater treatment processes with two soils (forest and farm). Soils were watered for 16 wk. Nutrients (NO-N, NH-N, and PO), electrical conductivity, hardness, pH, total metals, and estrogenic activity in source and effluents were measured. Results were evaluated in reference to current regulations in Washington State. Both reclaimed waters met standards for unrestricted agricultural use but did not meet current state regulations for ecological use. Metal concentrations in reclaimed waters were generally similar to the control (tap water). Both source and soil filtered water met Washington State stream water criteria for chronic exposure for As but exceeded groundwater standards. Concentrations of Cd, Pb, Ag, and Zn in the effluents were similar or slightly elevated to reclaimed source water for both soils and water types. Soil filtration improved water quality to levels within Washington State regulatory limits for ecological use for Cd, Cu, and Zn but decreased water quality for Pb for both soil and reclaimed water types. Phosphate concentrations were reduced by soil filtration, but NO concentrations were increased for both soils and all water types above source water concentrations. The estrogenic activity of the sand-filtered water decreased to near detection limits in the forest soil and by >200% in the farm soil. The degradation in water quality (increased NO, As, and Mn) after soil filtration observed in this study would likely occur with any water type, including rainwater.
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Estrógenos/análisis , Metales Pesados/análisis , Contaminantes del Suelo/análisis , Eliminación de Residuos Líquidos/métodos , Monitoreo del Ambiente , Filtración , Nitrógeno/análisis , Fósforo/análisis , Suelo/químicaRESUMEN
Experiences of stigma in health care encounters among LGBTQ+ populations (lesbian, gay, bisexual, transgender, and queer and questioning) have long been a barrier to care. Marginalization and historically grounded fears of stigmatization have contributed to a reluctance to disclose sexual behavior and/or gender identity to health care providers. We reflect on how student nurses grappled with the ethics of patient disclosure while providing mobile outreach in Chicago for mpox (formerly monkeypox) from fall 2022 to spring 2023. Student nurses addressed how requiring disclosure of sexual behavior or sexual orientation may serve as a barrier to accessing preventive care, such as mpox vaccination. Accounts of stigma and criminalization experienced by LGBTQ+ people provide insight on challenges historically associated with disclosure in health care.
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INTRODUCTION: Chicago's COVID-19 Rapid Response Team (CRRT) is a decentralized, interprofessional group of nurses, residents, students, and faculty who provide free COVID-19 testing for those living or working in congregate settings (i.e., shelters, long term care facilities, prisons and encampments) due to their increased risk. Individuals within these vulnerable populations regularly experience stigma, a lack of privacy, and healthcare discrimination as they are often in low-income and underserved communities. The CRRT tests in settings that are necessarily large (cafeterias, meeting areas, gymnasiums, recreation rooms), and provide little physical privacy. Regardless of patient circumstances, respecting patient dignity is a professional standard of care, and patient privacy is consistent with that standard. METHODS: Guided by trauma-informed care techniques, emancipatory nursing practice, and cultural safety methodology, student members of the CRRT initiated a project focused on expanding physical privacy protection for those undergoing COVID-19 testing. CONCLUSION: Though the introduction of a portable privacy screen started as an initiative to safeguard the dignity for underserved populations, this call to action implores current and future health care providers to prioritize the ethical treatment of those most vulnerable by advocating for patient dignity and privacy.
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Previous research has examined the utilisation of musical cues to improve the performance of cardiopulmonary resuscitation (CPR) delivered in training environments. We postulated a musical cue that is both contemporary and transcends cultures may improve CPR performance. Our aim was to establish whether chest compressions are performed with improved rate and depth if a song of a fixed beat (PinkFong's 'Baby Shark' with a tempo of 115 beats per minute (bpm) and 15 beats in each verse) is played to a healthcare professional immediately before undertaking CPR compared to whale noises (a non-metronomic rhythm). 58 Participants of a paediatric conference (majority doctors) were randomly assigned to listen to a minute of Baby Shark (28) or whale song (30) and then undertake a minute of CPR. There was no significant difference in the mean compression rate between the Baby Shark and control groups, with the groups achieving 121 and 125 bpm, respectively (p=0.18). In relation to compression depth within the target zone, the Baby Shark group had more compressions completed within the target zone (55%) than the control group (39%) although this difference was not significant (p=0.08). Listening to Baby Shark prior to undertaking simulated CPR does not improve overall performance, but there is a potential tendency to improve adequate compression depth which may be beneficial in training exercises.
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Background: Human trafficking is a human rights violation occurring around the world. Despite the profound social, health, and economic consequences of this crime, there is a lack of research about the prevalence and needs of human trafficking victims. The purpose of this study is to describe the healthcare, social service, and legal needs of human trafficking victims seeking services at the University of Michigan Human Trafficking Clinic. Methods: A secondary analysis of the University of Michigan Human Trafficking Clinic closed case files from 2009-2016 was performed. Data were extracted from the legal files to create a database and data analyses were completed using descriptive frequencies, logistic, and linear regression. Results: Data were extracted from 65 closed cases made up of 49 female victims(75.4%) and 16 male victims (24.6%) between the ages of 13 and 68 years old (M=30.15). Victims had experienced labor (56.9%) and sex (47.7%) trafficking. Logistic regression modeling indicated that trafficking experiences significantly influenced posttrafficking mental healthcare, social service, and legal needs. Conclusions: Victims of human trafficking have extensive needs; however, there are many barriers to seeking and receiving comprehensive services. In order to serve this vulnerable population, collaboration between disciplines must occur.
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Tell Well is an innovative creative writing and storytelling workshop developed by a public health nursing scholar and educator and a writer and educator. The demonstration project was a writing workshop designed especially for nurses. While the overall objective of Tell Well is to teach writing and storytelling as self-care tools for health care workers to address professional quality of life, the interdisciplinary collaboration has proven to be a vital component of the program's development. After an exploration of the importance of bringing the arts and humanities to nurses and their nursing practice, the writer and the nurse engage in a dialog about the collaboration, its origins, the challenges faced, and the value of such interdisciplinary endeavors.
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Arte , Atención a la Salud/métodos , Comunicación Interdisciplinaria , Escritura , Atención a la Salud/tendencias , Humanos , Desarrollo de Programa/métodosRESUMEN
Background: Aboriginal Australian children have higher rates of mortality at younger ages than non-Aboriginal Australian children. We aimed to (i) calculate the case fatality rate (CFR) for Aboriginal and non-Aboriginal children admitted to children's hospitals in New South Wales (NSW) and (ii) identify predictors of CFR. Methods: We used a retrospective cross-sectional analysis of data from electronic medical records for in-patient admissions to the Sydney Children's Hospitals Network (SCHN) over five years (2011-2015). Logistic regression analysis was used to identify predictors of mortality and excess deaths in Aboriginal children were calculated. Results: There were 241,823 presentations over the 5-year period. The CFR for Aboriginal children was double that of non-Aboriginal children (0.4% vs. 0.2%, p = 0.002), with Aboriginal children under 2 years and from remote and regional Australia at highest risk of excess mortality. Predictors of death for all children in order of significance were: Circulatory disorders (Odds Ratio (OR) 17.16, p < 0.001), neoplasm/blood/immune disorders (OR 2.77, p < 0.001), emergency admissions (OR 1.94, p < 0.001), aboriginality (OR 1.73, p = 0.005) and longer length of stay (OR 1.012; p < 0.001). Conclusions: Our data show that Aboriginal children are almost twice as likely to die than non-Aboriginal children. In particular, excess deaths in Aboriginal children are most commonly from outer regional and remote areas and children aged under 2 years with perinatal or circulatory conditions.
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Mortalidad Hospitalaria/etnología , Hospitales Pediátricos/estadística & datos numéricos , Nativos de Hawái y Otras Islas del Pacífico/estadística & datos numéricos , Centros de Atención Terciaria/estadística & datos numéricos , Adolescente , Adulto , Australia , Niño , Preescolar , Estudios Transversales , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Hospitalización , Humanos , Lactante , Recién Nacido , Masculino , Oportunidad Relativa , Estudios Retrospectivos , Adulto JovenRESUMEN
BACKGROUND: As nursing colleges seek to respond to the demands of the profession for nurses who are globally engaged and of the students for global health educational experiences, Riner's Globally Engaged Nursing Education framework is an effective tool for developing and evaluating an experience. METHOD: Using Riner's framework, faculty and students at a nursing college evaluate an inaugural cultural exchange program between their U.S.-based college and a partner in India. RESULTS: The framework helps the team identify the strengths of the program, as well as areas for improvement for future global endeavors. The framework as an evaluation tool is also critiqued in light of this process. CONCLUSION: Overall, this inaugural program was a success and with this evaluation will inform future cultural exchanges between these institutions. [J Nurs Educ. 2019;58(12):704-711.].
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Intercambio Educacional Internacional , Estudiantes de Enfermería/psicología , Actitud del Personal de Salud , Competencia Cultural , Salud Global , Humanos , India , Evaluación de Programas y Proyectos de Salud , Facultades de Enfermería , Estados UnidosRESUMEN
Pigeons were tested for their ability to report the location they recently pecked, without prior experience having to do so. They were first pretrained to report the location that they had just pecked. They were then trained on a conditional discrimination to associate yellow and blue samples with vertical and horizontal comparisons, respectively, independent of comparison location. On probe trials in testing, when after choosing a vertical or horizontal line following the yellow or blue sample, the pigeons were 'asked' which location they had just pecked, they showed a significant tendency to choose correctly in spite of the fact that location of the correct comparison was incidental to the task. Performing on probe trials is analogous to asking the pigeons an unexpected question about their recent behavior and it is similar to the episodic memory question asked of humans, "What did you have for breakfast this morning?".
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Condicionamiento Clásico , Discriminación en Psicología , Retención en Psicología , Disposición en Psicología , Animales , Aprendizaje por Asociación , ColumbidaeRESUMEN
It has been proposed that comparison choice in matching-to-sample should depend on two factors, the relative probability of reinforcement associated with each of the comparison stimuli and the conditional probability of each comparison stimulus being correct given presentation of one of the samples. DiGian and Zentall [DiGian, K.A., Zentall, T.R., 2007. Matching-to-sample in pigeons: in the absence of sample memory, sample frequency is a better predictor of comparison choice than the probability of reinforcement for comparison choice. Learn Behav. 35, 242-261] have shown that sample frequency together with the probability of choosing each of the comparison stimuli in training can influence comparison choice when delays are introduced, when the number of reinforcements associated with each of the comparison stimuli is equated. Furthermore, Zentall and Clement [Zentall, T.R., Clement, T.S., 2002. Memory mechanisms in pigeons: Evidence of base-rate neglect. J. Exp. Psych.: Anim. Behav. Proc. 28, 111-115] have found that sample frequency can affect comparison choice when delays are introduced independently of the number of choices of each of the comparison stimuli in training and the number of reinforcements associated with each of the comparison stimuli is equated. In the present experiment we found that the probability of choosing each of the comparison stimuli in training can affect comparison choice when delays are introduced, independently of sample frequency and when the number of reinforcements associated with each of the comparison stimuli is equated. Together, these experiments suggest that when the sample is not available, there is a partial dissociation between comparison choice and the probability of reinforcement associated with each of the comparison stimuli.
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Conducta de Elección , Aprendizaje Discriminativo , Aprendizaje por Probabilidad , Refuerzo en Psicología , Detección de Señal Psicológica , Animales , Columbidae , Toma de Decisiones , Reconocimiento Visual de Modelos , Inhibición Proactiva , Tiempo de Reacción , Factores de TiempoRESUMEN
Conditions within jails and prisons are a public health crisis, necessitating critical reform measures. An innovative collaboration between a Midwestern College of Nursing and Cook County Department of Corrections provides students with the opportunity to develop health education for both those detained in the jail and the corrections officers. A phenomenological approach, recognizing the importance of intuitive and cognitive understanding, is offered as a framework for practice in complex environments. Principles of restorative justice provide a bridge between primary, secondary, and tertiary prevention and the nursing practice possible within these institutions of incarceration and the communities to which people return.
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Derecho Penal/organización & administración , Educación en Salud/organización & administración , Promoción de la Salud/organización & administración , Colaboración Intersectorial , Atención de Enfermería/organización & administración , Prisioneros/educación , Prisiones , Adulto , Femenino , Humanos , Illinois , Masculino , Persona de Mediana Edad , Adulto JovenRESUMEN
When behavior suggests that the value of a reinforcer depends inversely on the value of the events that precede or follow it, the behavior has been described as a contrast effect. Three major forms of contrast have been studied: incentive contrast, in which a downward (or upward) shift in the magnitude of reinforcement produces a relatively stronger downward (or upward) shift in the vigor of a response; anticipatory contrast, in which a forthcoming improvement in reinforcement results in a relative reduction in consummatory response; and behavioral contrast, in which a decrease in the probability of reinforcement in one component of a multiple schedule results in an increase in responding in an unchanged component of the schedule. Here we discuss a possible fourth kind of contrast that we call within-trial contrast because within a discrete trial, the relative value of an event has an inverse effect on the relative value of the reinforcer that follows. We show that greater effort, longer delay to reinforcement, or the absence of food all result in an increase in the preference for positive discriminative stimuli that follow (relative to less effort, shorter delay, or the presence of food). We further distinguish this within-trial contrast effect from the effects of delay reduction. A general model of this form of contrast is proposed in which the value of a primary or conditioned reinforcer depends on the change in value from the value of the event that precedes it.
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Reacción de Prevención , Conducta de Elección , Condicionamiento Psicológico , Refuerzo en Psicología , Animales , Conducta Animal , Cognición , ColumbidaeRESUMEN
Vasconcelos, Urcuioli, and Lionello-DeNolf (2007) report the results of five experiments that fail to replicate the results of our within-trial contrast study (Clement, Feltus, Kaiser, & Zentall, 2000) and suggest that our results may represent a Type I Error. We believe that this conclusion is not warranted because (a) there is considerable evidence in support of the effect and (b) the amount of training that they gave to their pigeons prior to test may not have been sufficient to observe the effect reliably. We suggest that when sufficient training is provided, reliable contrast can be found.
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Conducta Animal , Aprendizaje Discriminativo , Animales , Columbidae , Reproducibilidad de los ResultadosRESUMEN
Several types of contrast effects have been identified including incentive contrast, anticipatory contrast, and behavioral contrast. Clement, Feltus, Kaiser, and Zentall (2000) proposed a type of contrast that appears to be different from these others and called it within-trial contrast. In this form of contrast the relative value of a reinforcer depends on the events that occur immediately prior to the reinforcer. Reinforcers that follow relatively aversive events are preferred over those that follow less aversive events. In many cases the delay reduction hypothesis proposed by Fantino (1969) also can account for such effects. The current experiments provide a direct test of the delay reduction and contrast hypotheses by manipulating the schedule of reinforcement while holding trial duration constant. In Experiment 1, preference for fixed-interval (FI) versus differential-reinforcement-of-other-behavior (DRO) schedules of reinforcement was assessed. Some pigeons preferred one schedule over the other while others demonstrated a position (side) preference. Thus, no systematic preference was found. In Experiment 2, a simultaneous color discrimination followed the FI or DRO schedule, and following training, preference was assessed by presenting the two positive stimuli simultaneously. Consistent with the contrast hypothesis, pigeons showed a significant preference for the positive stimulus that in training had followed their less preferred schedule.