NYC Hunger Experience 2009: A Year in Recession

As 2009 draws to a close, a consideration of food poverty facilitates a unique analysis of the nation's recession, the American Recovery and Reinvestment Act (ARRA) and other recession responses, and highlights challenges and opportunities in the months and years ahead. For the purpose of such an analysis, the Food Bank For New York City's 2009 edition of NYC Hunger Experience -- the annual opinion poll series conducted in conjunction with Marist College Institute for Public Opinion -- includes results from a survey of New York City's emergency food organizations (soup kitchens and food pantries) to provide a comprehensive picture of how the recession is impacting New Yorkers

Navigating Ethics of Physician-Patient Confidentiality: A Communication Privacy Management Analysis

The ethics of physician-patient confidentiality is often fraught with contradictions. Privacy boundaries are not always clear, and patients can leave an interaction with their physicians feeling uncomfortable about the security of their private medical information. The best way to meet confidentiality and privacy management expectations that patients have may not be readily apparent. Without realizing it, a physician may communicate a patient's information in ways that are inconsistent with that person's perceptions of how his/her medical information should be treated. A proposed model is presented as a tool for physicians to better serve the privacy and confidentiality needs of their patients. This model depends on the communication privacy management (CPM) perspective that emerged from a 35-year research program investigating how people regulate and control information they consider private and confidential. A physician's use of this model enables the ability to establish a confidentiality pledge that can address issues in understanding the best way to communicate about privacy management with patients and more likely overcome potential negative outcomes

NYC Hunger Experience 2010: Less Food on the Table

Food poverty and unemployment trends over the past year raise questions about what it means for low-income New Yorkers to experience a jobless recovery and the lengths to which families must go to keep food on the table. To provide insight into these questions, the Food Bank For New York City's 2010 edition of the NYC Hunger Experience report series -- an annual opinion poll conducted in collaboration with Marist College Institute for Public Opinion -- adds new results about the financial coping mechanisms New Yorkers have used to get by during the recession and their predictions for the future to the yearly findings on difficulty affording food, impact of loss of income and concern about needing food assistance

Theory Building as Integrated Reflection: Understanding Physician Reflection Through Human Communication Research, Medical Education, and Ethics

Grounded in a presupposition that a single explanatory framework cannot fully account for the expansive learning processes that occur during medical residency, the article examines developing physicians’ reflective writing from three disciplinary lenses. The goal is to understand how the multi-dimensional nature of medical residency translates into assembling educational experiences and constructing meaning that cannot be fully explained through a single discipline. An interdisciplinary research team across medical education, communication, and ethics qualitatively analyzed reflective entries (N=756) completed by family medicine residents (N=33) across an academic year. Results provide evidence for moving toward an integrated thematic explanation across disciplines. The authors suggest that the integration of disciplinary explanations allows for comprehensive understanding of reflection as a cornerstone in the broader formation of the physician. Examples provide evidence for an integrated understanding of a fuller human experience by considering the three thematic explanations as co-occurring, reciprocal processes

Ethical considerations of telehealth: Access, inequity, trust, and overuse

In the U.S. healthcare system, telehealth is increasingly present and demands ethical assessment. On the one hand, telehealth increases access to healthcare services for some at-risk populations (e.g., people suffering from mental illness and addictions) and in specific contexts (e.g., rural). On the other hand, telehealth widens the digital divide and can lead to overuse of services. Furthermore, because it is still unclear how telehealth influences trust between patients and primary care clinicians, connecting relationship science and human communication research can inform critical reasoning. Finally, healthcare policy is advancing toward the wide adoption of telehealth. Hence, it is urgent to address these ethical issues and invest in further research

What Can Parents Do? A Review of State Laws Regarding Decision Making for Adolescent Drug Abuse and Mental Health Treatment

This study examined US state laws regarding parental and adolescent decision-making for substance use and mental health inpatient and outpatient treatment. State statues for requiring parental consent favored mental health over drug abuse treatment and inpatient over outpatient modalities. Parental consent was sufficient in 53%–61% of the states for inpatient treatment, but only for 39% – 46% of the states for outpatient treatment. State laws favored the rights of minors to access drug treatment without parental consent, and to do so at a younger age than for mental health treatment. Implications for how these laws may impact parents seeking help for their children are discussed

Use of complementary and alternative medicine and breast cancer survival in the Health, Eating, Activity, and Lifestyle Study

PURPOSE: Use of complementary and alternative medicine (CAM) is common among breast cancer patients, but less is known about whether CAM influences breast cancer survival. METHODS: Health Eating, Activity, and Lifestyle (HEAL) Study participants (n = 707) were diagnosed with stage I-IIIA breast cancer. Participants completed a 30-month post-diagnosis interview including questions on CAM use (natural products such as dietary and botanical supplements, alternative health practices, and alternative medical systems), weight, physical activity, and comorbidities. Outcomes were breast cancer-specific and total mortality, which were ascertained from the Surveillance Epidemiology and End Results registries in Western Washington, Los Angeles County, and New Mexico. Cox proportional hazards regression models were fit to data to estimate hazard ratios (HR) and 95 % confidence intervals (CI) for mortality. Models were adjusted for potential confounding by sociodemographic, health, and cancer-related factors. RESULTS: Among 707 participants, 70 breast cancer-specific deaths and 149 total deaths were reported. 60.2 % of participants reported CAM use post-diagnosis. The most common CAM were natural products (51 %) including plant-based estrogenic supplements (42 %). Manipulative and body-based practices and alternative medical systems were used by 27 and 13 % of participants, respectively. No associations were observed between CAM use and breast cancer-specific (HR 1.04, 95 % CI 0.61-1.76) or total mortality (HR 0.91, 95 % CI 0.63-1.29). CONCLUSION: Complementary and alternative medicine use was not associated with breast cancer-specific mortality or total mortality. Randomized controlled trials may be needed to definitively test whether there is harm or benefit from the types of CAM assessed in HEAL in relation to mortality outcomes in breast cancer survivors

Queer intellectual curiosity as international relations method: developing queer international relations theoretical and methodological frameworks

This article outlines two theoretical and methodological approaches that take a queer intellectual curiosity about figurations of “homosexuality” and “the homosexual” as their core. These offer ways to conduct international relations research on “the homosexual” and on international-relations figurations more broadly, e.g. from “the woman” to “the human rights holder.” The first approach provides a method for analyzing figurations of “the homosexual” and sexualized orders of international relations that are inscribed in IR as either normal or perverse. The second approach offers instructions on how to read plural figures and plural logics that signify as normal and/or perverse (and which might be described as queer). Together, they propose techniques, devices and research questions to investigate singular and plural IR figurations – including but not exclusively those of “the homosexual” – that map international phenomena as diverse as colonialism, human rights, and the formation of states and international communities in ways that exceed IR survey research techniques that, for example, incorporate “the homosexual” into IR research through a “sexuality variable.

Using a 3D virtual muscle model to link gene expression changes during myogenesis to protein spatial location in muscle

Background: Myogenesis is an ordered process whereby mononucleated muscle precursor cells (myoblasts) fuse into multinucleated myotubes that eventually differentiate into myofibres, involving substantial changes in gene expression and the organisation of structural components of the cells. To gain further insight into the orchestration of these structural changes we have overlaid the spatial organisation of the protein components of a muscle cell with their gene expression changes during differentiation using a new 3D visualisation tool: the Virtual Muscle 3D (VMus3D)