Placing wireless tablets in clinical settings for patient education

Objective

The authors explored the feasibility and possible benefit of tablet-based educational materials for patients in clinic waiting areas.

Methods

We distributed eight tablets preloaded with diagnosis-relevant information in two clinic waiting areas. Patients were surveyed about satisfaction, usability, and effects on learning. Technical issues were resolved.

Results

Thirty-seven of forty patients completed the survey. On average, the patients were satisfied in all categories.

Conclusions

Placing tablet-based educational materials in clinic waiting areas is relatively easy to implement. Patients using tablets reported satisfaction across three domains: usability, education, and satisfaction.     

Access to human,animal, and environmental journals is still limited for the One Health community

Objective

“One Health” is an interdisciplinary approach to evaluating and managing the health and well-being of humans, animals, and the environments they share that relies on knowledge from the domains of human health, animal health, and the environmental sciences. The authors'' objective was to evaluate the extent of open access (OA) to journal articles in a sample of literature from these domains. We hypothesized that OA to articles in human health or environmental journals was greater than access to animal health literature.

Methods

A One Health seminar series provided fifteen topics. One librarian translated each topic into a search strategy and searched four databases for articles from 2011 to 2012. Two independent investigators assigned each article to human health, the environment, animal health, all, other, or combined categories. Article and journal-level OA were determined. Each journal was also assigned a subject category and its indexing evaluated.

Results

Searches retrieved 2,651 unique articles from 1,138 journals; 1,919 (72%) articles came from 406 journals that contributed more than 1 article. Seventy-seven (7%) journals dealt with all 3 One Health domains; the remaining journals represented human health 487 (43%), environment 172 (15%), animal health 141 (12%), and other/combined categories 261 (23%). The proportion of OA journals in animal health (40%) differed significantly from journals categorized as human (28%), environment (28%), and more than 1 category (29%). The proportion of OA for articles by subject categories ranged from 25%–34%; only the difference between human (34%) and environment (25%) was significant.

Conclusions

OA to human health literature is more comparable to animal health than hypothesized. Environmental journals had less OA than anticipated.Keywords (Medical Subject Headings) Publishing, Periodicals as Topic, Access to Information, Veterinary Medicine, Environment, Environmental Health, Medicine“One Health” is an integrated, transdisciplinary approach to solve complex problems at the diverse interfaces shared by humans, animals, and the environment [1]. The One Health approach to evaluating and managing the health and well-being of humans, animals, and the environments that they share relies on knowledge from the domains of human health, animal health, and the environmental sciences. Although there is a growing body of literature about the development of the One Health concept as documented by Pepper, Carrigan, Shurtz, and Foster [2], this literature is not the same as the combination of literature from the three domains that is applied in service of One Health. Every discipline related to One Health has its unique mindset and language, with corresponding lists of acronyms that are frequently an impediment to effective communication across the participating professions. Relevant papers guiding a One Health approach may never specifically use “One Health” as a term or concept.To promote better communication and collaboration among health professionals and environmental scientists, a public monthly One Health Intellectual Exchange Group (IEG) hosted by the North Carolina Biotechnology Center was launched in 2009. In 2011, faculty from the North Carolina State University College of Veterinary Medicine, University of North Carolina''s Gillings School for Global Public Health, Duke Global Health Institute, and Nicholas School of the Environment at Duke University expanded the IEG series into a weekly seminar course with eight One Health focus areas [3]. The eight focus area modules were the following: an introduction to One Health; environmental health and ecology; the human and animal bond; zoonoses and emerging infectious diseases; food and water safety; disease surveillance, informatics, and disaster preparedness; benefits of comparative medicine; and policy and education (Appendix A, online only). Each seminar speaker recommended papers to read prior to the session to provide a foundation for the topic because student backgrounds and majors were quite diverse. Represented student majors included master''s of public health, master''s of animal science, doctor of veterinary medicine, graduate-level environmental sciences, and undergraduate-level biochemistry, engineering, and biology.Open access (OA) to relevant literature is very important to scholars and practitioners working on interdisciplinary problems. The One Health Proof of Concept Workgroup found that few studies assess outcomes in human, animal, and environmental spheres simultaneously [4], making it important to be able to access articles from each of the three domains to get a more complete picture.The objective of this study was to evaluate the extent of OA to journal articles in a sample of literature relevant to One Health from the human, animal, and environmental domains. Working in a college of veterinary medicine and supporting faculty, staff, and students addressing interdisciplinary problems under the One Health umbrella [5], the authors were familiar with the extent of OA in human biomedical and public health literature and the literature of veterinary medicine but were less familiar with environmental journals. In light of general availability of environmental information and OA to publications such as Environmental Health Perspectives, we thought it likely that environmental literature would be relatively open compared to the other subject areas. Therefore, we hypothesized OA to articles from human health or environmental journals was greater than access to animal health literature. We chose to look at article-level subject categorization and access, as well as journal-level categorization and access, because they might differ. Article-level access relates more to authors'' decisions about OA for a content domain, while journal-level access and subject categorization are driven by publishers and associations. Understanding the distinction and having data would inform our efforts to promote increased OA to this literature.     

“I Belong Here.”: Culturally Sustaining Pedagogical Praxes from an Alternative High School in Brooklyn

Despite persistent class and race inequalities in educational attainment and achievement in the U.S., hegemonic cultural ideologies and urban education politics and policies continue to proceed from an insistence that education is the great equalizer. These ideologies do not take into account the ways that normative school culture and pedagogical praxes take for granted middle-class, white-supremacist cultural assumptions that privilege student populations whose social locations already probabilize high rates of achievement and attainment. Vast research published in The Urban Review and elsewhere has demonstrated the importance and efficacy of culturally sustaining pedagogy for improving outcomes for economically marginalized students of color (Allen in Urban Rev 47(1):209–231, 2015; Delpit in Harv Educ Rev 56(4):379–386, 1995; Farinde-Wu et al. in Urban Rev 49(2):279–299, 2017; Gay in culturally responsive teaching: theory, research, and practice, Teachers College Press, New York, 2010; Graves in Berkeley Rev Educ 5(1):5–32, 2014; Jemal in Urban Rev 49(4):602–626, 2017; Ladson-Billings in Crossing over to Canaan: the journey of new teachers in classrooms, Jossey-Bass, San Francisco, 2001, The dreamkeepers: successful teachers of African American children, Jossey-Bass Publishers, San Francisco, 2009; Lee in Culture, literacy and learning: taking bloom in the midst of the whirlwind, Teachers College Press, New York, 2006; Marciano in Urban Rev 49(1):169–187, 2016; Nieto in Language, culture, and teaching: critical perspectives, Routledge, New York, 2010; Paris in Educ Res 41(3):93–97, 2012; Paris and Alim in Culturally sustaining pedagogies: teaching and learning for justice in a changing world, Teachers College Press, New York, 2017; Wiggan and Watson in Urban Rev 48(5):766–798, 2016; Yosso in Race Ethn Edu, 8(1):69–91, 2005). This article uses rich ethnographic data from a transfer school in Brooklyn, New York that serves financially insecure youth of color who are “over-age and under-credited.” These data and my analysis showcase the expertise and indigenous knowledges of teachers who practice cultural relevance and critical racial awareness in order to engage, retain, graduate and prepare students who are historically and presently marked for failure by an education system that has always been more adept at reproducing social inequality than disrupting it (Borck in Qual Inq 20(10):1–8, 2016).

     

Results of an assessment to identify potential barriers to sustainable agriculture on American Indian reservations in the Western United States

Purpose: This paper reports the results of survey research conducted with tribal producers between 2011 and 2012 on 19 of the largest American Indian reservations in Idaho, Nevada, North Dakota, Oregon, South Dakota, and Washington. The purpose of the research was to identify potential barriers to sustainable agriculture on reservation lands. This article reports the results of this research in an effort to promote Extension professionals' understanding of these barriers, which may help to improve outreach programs on American Indian reservations. Understanding the obstacles to sustaining agriculture that American Indian tribes face may inform international agricultural outreach efforts to increase food security targeting indigenous and tribal peoples worldwide.

Design/Methodology/Approach: American Indian agricultural producers comprised the study group. Study objectives included: (1) identify agricultural and natural resource issues of greatest concern to a self-selected sample of tribal agricultural producers on reservation lands; (2) evaluate access to Extension and other US Department of Agriculture outreach and assistance programs; and (3) evaluate the quality of these programs in terms of their relativity to tribal needs.

Findings: Study results indicate that tribal agricultural producers surveyed ranked 29 of 39 agricultural and natural resource issues as a concern. Similarly, they rated access to and quality of outreach programs as fair. Further, tribal producers operating on reservation trust land rated issues more severely than did tribal producers operating on fee simple lands.

Practical Implications: Results of this research will help Extension and other outreach professionals to understand the barriers indigenous and tribal peoples face in sustaining agricultural operations, particularly tribal groups living on federally reserved trust lands, such as American Indians. An increased understanding can inform agricultural policy-makers and outreach professionals in improving programs designed to increase agricultural sustainability, improve food security, enhance economic well-being and improve quality of life of indigenous and tribal peoples worldwide.

Originality/Value: This research provides important information to agricultural policy-makers and Extension professionals striving to sustain agricultural productivity and enhance food security with indigenous and tribal peoples.     

The role of acculturation in explaining ethnic differences in the prenatal health-risk behaviors, mental health, and parenting beliefs of Mexican American and European American at-risk women

OBJECTIVE: To assess: (1) ethnic differences in the health-risk behaviors, mental health problems, and adverse parenting beliefs during pregnancy of low-income Mexican American and European American women; and, (2) the extent to which these risks varied with levels of acculturation among low-income Mexican American women. METHOD: Participants were 594 primiparous, low-income, urban women. A cross-sectional design was used to compare the 331 Mexican American women to the 263 European American. Language was used to assess the level of acculturation of the Mexican American women. Interviews were used to evaluate health-risk behaviors, mental health problems, and adverse parenting beliefs. RESULTS: In comparison to European American women, Mexican American women were at lower risk for cigarette smoking during pregnancy and higher risk for adverse parenting beliefs. Among Mexican American women, Spanish speakers were at lower risk for cigarette smoking and mental health problems during pregnancy, and higher risk for adverse parenting beliefs than bilingual and English speakers. CONCLUSIONS: The findings indicate that ethnic differences in cigarette smoking and parenting beliefs during pregnancy were concentrated on the less acculturated, low-income, and primarily unmarried Spanish speaking Mexican American women. Moreover, acculturation is differentially related to cigarette smoking and parenting beliefs. Therefore, acculturation needs to be considered in the development of preventive interventions in order to appropriately target the specific needs of different sub-populations of Mexican Americans.     

Can research on science learning and instruction inform standards for science education?

We contrast the current science education reform effort with the reforms of the 1960s and suggest how the current effort could be enhanced. We identify insights from recent research that we believe can inform the reform process, in particular, to reach all science students and also impart a cohesive view of science. We propose an alternative models view of scientific explanation and show how this view would contribute to reforms of (1) course goals, (2) social aspects of science learning, (3) instructional practices, and (4) roles for technology.This paper summarizes discussions and debates that the authors have had over the last few years. The dialogue stems, in part, from our joint participation in the American Educational Research Association Special Interest Group on Education in Science and Technology (AERA SIG:EST) leadership. This paper communicates the spirit of our thinking and does not necessarily reflect the view of SIG:EST, or any other organization.We gratefully acknowledge the support of National Science Foundation Grant MDR-9253462 in work related to this paper. We appreciate helpful comments from Eileen Lewis and the Computer as Learning Partner group.This material is based upon research supported by the National Science Foundation under grant RED-9155744. Any opinions, findings, and conclusions or recommendations expressed in this publication are those of the authors and not necessarily reflect the views of the National Science Foundation.     

Grasping in the pigeon (Columba livid): Stimulus control during conditioned and consummatory responses

Control of beak opening (gape) and peck location was examined in pigeons. Feeding pecks showed accurate guidance that positioned the seed between the beaks. At the moment of contact with the seed, gape was proportional to seed diameter, although pecks with gape less than seed diameter were more frequent following an increase in seed size during a meal. There were no substantial differences between pigeons trained to keypeck with autoshaping and those trained with operant conditioning procedures. With either procedure, water reinforcement produced keypecks with the beak closed; seed reinforcers of different sizes produced means for gape proportional to the seed diameters. Black or white circular stimuli of different sizes projected as conditioning signals had little influence upon gape, but a greater percentage of responses was directed to white stimuli. These results indicate that visual stimuli elicit and orient the peck, whereas the adjustment of gape also involves the somatosensory stimuli provided during previous experience with a particular reinforcer or food type.     

Using Film to Increase Counselor Empathic Experiences

The early stages of empathy in counseling—emotional reaction, role-taking, and cognitive suspension—have all been largely ignored in the counselor education/psychological literature. This article describes these stages from the perspective of the aesthetic/film literatures. Emotional reaction is an internal, unobservable state of being. Role-taking involves cognitive understanding and entering the perceptual world of another. Cognitive suspension means letting go of personal beliefs and values. The film literature describes how audience emotional states are created by directors, writers, actors, and editors. This article explains how counselor educators and supervisors can use this information to help counselors increase their empathic experiences.