IMPLEMENTATION OF TELEHEALTH EDUCATION IN A PRE-LICENSURE BSN NURSING PROGRAM IN RURAL SOUTHEAST KANSAS

The purpose of this project was to facilitate the implementation of a successful telehealth education program in a pre-licensure nursing program at a regional university in the Midwest. The project took place at Pittsburg State University Irene Ransom Bradley School of Nursing. Participants included eighty-six undergraduate senior students in their last semester of nursing school enrolled in Community Health Nursing preparing to begin their nursing career. The group completed a 20-hour self-paced telehealth educational program offering made available through a partnership with Dr.’s Carolyn Rutledge and Tina Gustin of Old Dominion University Center for Telehealth Innovation, Education and Research (C-TIER). The educational program offering consisted of didactic content, experiential learning activities, student projects, simulated learning and clinical encounters. Upon completion of the educational program, participants were invited to complete a voluntary anonymous feedback survey. The survey was offered online through the software program Qualtrics. Participants were sent a link via Canvas© Learning Management System and invited to complete the survey. The survey consisted of nineteen questions, sixteen questions rating participant perception of the educational program offering and three open-ended questions. The project conclusion revealed overall positive feedback of the educational program from the majority of respondents

The 300km/s stellar stream near Segue 1: Insights From high-resolution spectroscopy of its brightest star

We present a chemical abundance analysis of 300S-1, the brightest likely member star of the 300 km/s stream near the faint satellite galaxy Segue 1. From a high-resolution Magellan/MIKE spectrum we determine a metallicity of [Fe/H] = -1.46 +- 0.05 +- 0.23 (random and systematic uncertainties) for star 300S-1, and find an abundance pattern similar to typical halo stars at this metallicity. Comparing our stellar parameters to theoretical isochrones, we estimate a distance of 18 +- 7 kpc. Both the metallicity and distance estimates are in good agreement with what can be inferred from comparing the SDSS photometric data of the stream stars to globular cluster sequences. While several other structures overlap with the stream in this part of the sky, the combination of kinematic, chemical and distance information makes it unlikely that these stars are associated with either the Segue 1 galaxy, the Sagittarius stream or the Orphan stream. Streams with halo-like abundance signatures, such as the 300 km/s stream, present another observational piece for understanding the accretion history of the Galactic halo.Comment: 13 pages, emulateapj, accepted for publication in Ap

Commercial use of evidence in public health policy:A critical assessment of food industry submissions to global-level consultations on non-communicable disease prevention

Background Ultra-processed food industry (UPFI) actors have consistently opposed statutory regulation in health policy debates, including at the WHO. They do so most commonly with claims that regulatory policies do not work, will have negative consequences or that alternatives such as self-regulation work well or better. Underlying this are often assertions that industry is aligned with principles of evidence-based policymaking. In this study, we interrogate if this holds true by exploring the extent and quality of the evidence UPFI respondents employed to support claims around regulatory policy, and how they did this.Methods First, we identified all submissions from organisations who overtly represent UPFI companies to consultations held by the WHO on non-communicable disease policy between 2016 and 2018. Second, we extracted all relevant factual claims made in these submissions and noted if any evidence was referenced in support. Third, we assessed the quality of evidence using independence from UPFI, nature, and publication route as indicators. Lastly, where peer-reviewed research was cited, we examined if the claims made could be justified by the source cited.Results Across 26 included consultation responses, factual claims around regulation were made in 18, although only 10 referenced any evidence at all. Of all 114 claims made, 39 pieces of identifiable evidence were cited in support of 56 claims. Of the 39 distinct pieces of evidence, two-thirds were industry-funded or industry-linked, with only 16 externally peer-reviewed. Over half of industry-funded or industry-linked academic articles failed to declare a conflict of interest (COI). Overall, of only six claims which drew on peer-reviewed and independent research, none appropriately represented the source.Discussion UPFI respondents made far-reaching claims which were rarely supported by high-quality, independent evidence. This indicates that there may be few, if any, benefits from consulting actors with such a clear COI

Big food and the World Health Organization:A qualitative study of industry attempts to influence global-level non-communicable disease policy

Introduction There is an urgent need for effective action to address the over 10 million annual deaths attributable to unhealthy diets. Food industry interference with policies aimed at reducing non-communicable diseases (NCDs) is widely documented at the national level but remains under-researched at the global level. Thus, this study explores how ultra-processed food industry actors have attempted to influence NCD policy at WHO.Methods A combination of inductive and deductive thematic coding of internal industry documents, academic literature and interviews with key informants from international organisations and global civil society was used to identify action-based strategies ultra-processed food industry actors employ to influence global-level policy.Results Ultra-processed food industry actors have attempted to influence WHO and its policies through three main action-based strategies: coalition management, involvement in policy formulation, and information management. Coalition management includes the creation and use of overt alliances between corporations—business associations—and more covert science-focused and policy-focused intermediaries, the hiring of former WHO staff and attempted co-option of civil society organisations. Industry involvement in policy formulation is operationalised largely through the lobbying of Member States to support industry positions, and business associations gaining access to WHO through formal consultations and hearings. Information management involves funding and disseminating research favourable to commercial interests, and challenging unfavourable evidence.Conclusion We provide novel insights into how ultra-processed food industry actors shape global-level NCD policy and identify a clear need to guard against commercial interference to advance NCD policy. In their approach, the political behaviour of multinational food corporations bears similarities to that of the tobacco industry. Increased awareness of, and safeguarding against, commercial interference at the national as well as the global level have the potential to strengthen the crucial work of WHO

What is known about tobacco industry efforts to influence tobacco tax? A systematic review of empirical studies.

OBJECTIVE: To systematically review studies of tobacco industry efforts to influence tobacco tax policies. METHODS: Searches were conducted between 1 October 2009 and 31 March 2010 in 14 databases/websites, in relevant bibliographies and via experts. Studies were included if they focused on industry efforts to influence tobacco tax policies, drew on empirical evidence, were in English and concerned the period 1985-2010. In total, 36 studies met these criteria. Two reviewers undertook data extraction and critical appraisal. A random selection of 15 studies (42%) was subject to second review. Evidence was assessed thematically to identify distinct tobacco industry aims, arguments and tactics. RESULTS: A total of 34 studies examined industry efforts to influence tax levels. They suggest the tobacco industry works hard to prevent significant increases and particularly dislikes taxes 'earmarked' for tobacco control. Key arguments to counter increases are that tobacco taxes are socially regressive, unfair and lead to increased levels of illicit trade and negative economic impacts. For earmarked taxes, the industry also frequently tries to raise concerns about revenue allocation. Assessing industry arguments against established evidence demonstrates most are unsupported. Key industry tactics include: establishing 'front groups', securing credible allies, direct lobbying and publicity campaigns. Only seven studies examined efforts to influence tax structures. They suggest company preferences vary and tactics centre on direct lobbying. CONCLUSIONS: The tobacco industry has historically tried to keep tobacco taxes low using consistent tactics and misleading arguments. Further research is required to explore efforts to influence tax structures, excise policies beyond the USA and recent policies