Utilizing Community Resources to Reduce the Presence of Type 2 Diabetes in Rural Youth

The purpose of this study was to implement a program designed to promote diabetes prevention activities among preadolescents in a rural southern setting using a day camp intervention. Participants in the study were eleven youth from a rural Alabama county who participated in a week-long half-day camp administered by local and community volunteers. Change scores were used to compare pre- to post- to follow-up measures for camp participant responses. Program results consistently demonstrated that the day camp was theoretically sound and that program activities positively impacted behavioral antecedents. This study demonstrated the feasibility of conducting a diabetes prevention day camp in a rural environment. Insights from this intervention can assist planners in rural environments to tailor similar initiatives in rural settings. Given the complicated nature of behavior change, a day camp approach of this length does not modify the behaviors of participants. Behavior changes may take considerably longer to initiate

Clinical proteomics for precision medicine: the bladder cancer case

Precision medicine can improve patient management by guiding therapeutic decision based on molecular characteristics. The concept has been extensively addressed through the application of –omics based approaches. Proteomics attract high interest, as proteins reflect a “real-time” dynamic molecular phenotype. Focusing on proteomics applications for personalized medicine, a literature search was conducted to cover: a) disease prevention, b) monitoring/ prediction of treatment response, c) stratification to guide intervention and d) identification of drug targets. The review indicates the potential of proteomics for personalized medicine by also highlighting multiple challenges to be addressed prior to actual implementation. In oncology, particularly bladder cancer, application of precision medicine appears especially promising. The high heterogeneity and recurrence rates together with the limited treatment options, suggests that earlier and more efficient intervention, continuous monitoring and the development of alternative therapies could be accomplished by applying proteomics-guided personalized approaches. This notion is backed by studies presenting biomarkers that are of value in patient stratification and prognosis, and by recent studies demonstrating the identification of promising therapeutic targets. Herein, we aim to present an approach whereby combining the knowledge on biomarkers and therapeutic targets in bladder cancer could serve as basis towards proteomics- guided personalized patient management

It takes a village to protect a child

This article presents a case for taking a concerted community approach to protecting children. It does this through acknowledging that: child protection is indeed ‘everyone’s business’ (Landgren, 2005) and extending this into promoting a collective response rather than relying solely on child protection authorities to work with individual families; revisiting the ‘best interests’ criterion of child rights in protecting children; reiterating the argument (Young, McKenzie, Omre, Schjelderup, & Walker, 2014) for a much more nuanced understanding of, and response to, keeping children safe; and presenting some descriptions and analyses of community approaches to protecting children

Academic Primer Series: Five Key Papers for Consulting Clinician Educators.

INTRODUCTION: Clinician educators are often asked to perform consultations for colleagues. Invitations to consult and advise others on local problems can help foster great collaborations between centers, and allows for an exchange of ideas between programs. In this article, the authors identify and summarize several key papers to assist emerging clinician educators with the consultation process. METHODS: A consensus-building process was used to generate a list of key papers that describe the importance and significance of educational consulting, informed by social media sources. A three-round voting methodology, akin to a Delphi study, determined the most impactful papers from the larger list. RESULTS: Summaries of the five most highly rated papers on education consultation are presented in this paper. These papers were determined by a mixed group of junior and senior faculty members, who have summarized these papers with respect to their relevance for their peer groups. CONCLUSION: Five key papers on the educational consultation process are presented in this paper. These papers offer background and perspective to help junior faculty gain a grasp of consultation processes

Shared agency: the dominant spouse’s impact on education expenditure

In this paper, we consider whether it is the gender of the decision maker or the extent of agency that they wield that is crucial to increasing household welfare. This is an important question as development policy is often formed on the basis that placing resources in the hands of women results in greater household welfare. Indonesia provides the ideal opportunity to study this issue because it is home to ethnic groups with very different gender norms from male dominance (the patrilineal Batak) to female dominance (the matrilineal Minangkabau). Using IFLS data for three rounds, we consider the impact of decision-making by the dominant spouse on household expenditure on education. We find that, in Indonesia, when the dominant spouse (male or female) has sole control of decision-making, there is an overall negative impact on education expenditure. This leads us to argue that it is more important to consider the issue of spousal dominance, than wholly to focus on gender

Black Women’s Body Image, Breast Cancer, and Post Traumatic Growth

Black women’s body image is influenced by several factors but when women have breast cancer, a “new normal” extends from diagnosis to long after reconstruction. This pilot study examines Black women’s breast cancer experience beginning with social networks, diagnosis, health care, the medical community, and breast reconstruction, ending with PTSD and Post Traumatic Growth (PTG). A convenience sample was surveyed and a qualitative research methodology was utilized to analyze responses from Black female breast cancer survivors. Research questions included body image perceptions after surgery and post-reconstruction. The participants go through adversity, find strength, and grow, ready to face the next adventure. Chemotherapy and post mastectomy issues can change one’s body image and attitude. Results indicated participants viewed their body image and attitude more positively as early as two years post breast reconstruction, which supports the Post Traumatic Growth Theory (PTG). This research could give breast cancer survivors a better understanding of how breast cancer and reconstruction affect body image and attitude. One possibility is a newfound strength, despite or due to a breast cancer diagnosis and all that comes with it

Careless whisper: Political elite discourses activate national identities for far-right voting preferences

While exclusionary national identities are widespread among Europeans, relatively few people vote for the far right in most countries. Thus, an exclusionary identity in many cases does not lead to voting for the most nativist types of parties. We explain this empirical puzzle by showing that these identities need to be activated to become behaviourally relevant. To this end, we analyse longitudinal comparative data of over 135,000 individuals across more than 26 years and 26 countries combining different survey programmes and manifesto data. We use latent class analysis to show that over half of respondents hold exclusionary conceptions of nationhood. Moreover, this type of national identity predicts voting far right. Using multi-level modelling and within-country estimators, we further demonstrate that this relationship is significantly stronger when a country's political elites across all parties become more exclusionary. Taking the activation hypothesis to the test in a European context, we conclude that the effect of national identity is conditional on its prior activation.Obwohl ausgrenzende nationale Identitäten in Europa weit verbreitet sind, wählen in den meisten Ländern relativ wenige Menschen die extreme Rechte. Daher führt eine ausgrenzende Identität in vielen Fällen nicht dazu, dass solche Parteien gewählt werden. Die Autor*innen zeigen, dass diese nationalen Identitäten aktiviert werden müssen, um verhaltensrelevant zu werden