Noticing neighbors: reconsidering ancient Egyptian perceptions of ethnicity

Ethnic identities are nuanced, fluid and adaptive. They are a means of categorizing the self and the ‘other’ through the recognition of geographical, cultural, lingual, and physical differences. This work examines recurring associations, epithets and themes in ancient Egyptian texts to reveal how the Egyptians discussed the ethnic uniqueness they perceived of their regional neighbors. It employs Egyptian written records, including temple inscriptions, royal and private correspondence, stelae and tomb autobiographies, and literary tales, from the Old Kingdom to the beginning of the Third Intermediate Period. The textual examples are organized by ethnic group and divided into four regions, beginning with those concerning the western groups and proceeding clockwise, ending with those concerning the southern groups. The analysis of these texts produces an understanding of the Egyptian conceptualization of ethnicity in general, and the conceptualization of distinct ethnic identities specific to the four regions surrounding Egypt. This enhances our understanding of the lexical differences through which the Egyptians distinguished their neighbors from each other. Egyptian written records do not support the belief that the ancient Egyptians only understood their foreign neighbors within the simplistic framework of four broad ‘races.’ Egyptian literature contained a multitude of primary ethnonyms for distinct ethnic groups, as well as a number of secondary, informal ethnonyms. This study elucidates the placement of Egypt’s neighbors in the organization of the Egyptian cosmos, their distinct perceptions in Egyptian cultural cognition, and the Egyptian vocabulary for discussing foreigners and foreignness, thus leading to a better understanding of ethnic perceptions in ancient Egypt

Therapeutic Alliance and Motivation: The Role of the Recreational Therapist and Youth with Behavioral Problems.

The purpose of this study was to expand on the limited body of knowledge that exists on motivation and therapeutic alliance for recreational therapy programs. This study examined motivation with youth living with behavioral problems (BP) in an inpatient setting. In order to identify the type of motivation patients had for recreational therapy the Client Motivation for Therapy Scale (CMOTS) was utilized. The Working Alliance Inventory- Short form (WAI-S) was used to identify the therapeutic alliance between patients and recreational therapist. The researcher found that intrinsic motivation and therapeutic alliance were positively correlated.Leisure Studie

Non-O157 Shiga Toxin–producing Escherichia coli Associated with Venison

News reports of “E. coli outbreaks” usually refer to Shiga toxin–producing E. coli O157. But there are other types of Shiga toxin–producing E. coli, often called STEC,about which less is known. For these other types of STEC, what is the source? What are the risk factors? An outbreak among 29 high school students in Minnesota provided some answers. The source of this outbreak was a white-tailed deer that had been butchered and eaten at the school. The risk factors for infection were handling raw or eating undercooked venison. To prevent this type of STECinfection, people should handle and cook venison with the same caution recommended for other meats

Reducing wait times and avoiding unnecessary use of high-cost mental health services through a Rapid Access and Stabilization Program: protocol for a program evaluation study

Abstract Background Emergency psychiatric care, unplanned hospital admissions, and inpatient health care are the costliest forms of mental health care. According to Statistics Canada (2018), almost 18% (5.3 million) of Canadians reported needing mental health support. However, just above half of this figure (56.2%) have reported their needs were fully met. In light of this evidence there is a pressing need to provide accessible mental health services in flexible yet cost-effective ways. To further expand capacity and access to mental health care in the province, Nova Scotia Health has launched a novel mental health initiative for people in need of mental health care without requiring emergency department visits or hospitalization. This new service is referred to as the Rapid Access and Stabilization Program (RASP). This study evaluates the effectiveness and impact of the RASP on high-cost health services utilization (e.g. ED visits, mobile crisis visits, and inpatient treatments) and related costs. It also assesses healthcare partners' (e.g. healthcare providers, policymakers, community leaders) perceptions and patient experiences and satisfaction with the program and identifies sociodemographic characteristics, psychological conditions, recovery, well-being, and risk measures in the assisted population. Method This is a hypothesis-driven program evaluation study that employs a mixed methods approach. A within-subject comparison (pre- and post-evaluation study) will examine health services utilization data from patients attending RASP, one year before and one year after their psychiatry assessment at the program. A controlled between-subject comparison (cohort study) will use historical data from a control population will examine whether possible changes in high-cost health services utilization are associated with the intervention (RASP). The primary analysis involves extracting secondary data from provincial information systems, electronic medical records, and regular self-reported clinical assessments. Additionally, a qualitative sub-study will examine patient experience and satisfaction, and health care partners' impressions. Discussion We expect that RASP evaluation findings will demonstrate a minimum 10% reduction in high-cost health services utilization and corresponding 10% cost savings, and also a reduction in the wait times for patient consultations with psychiatrists to less than 30 calendar days, in both within-subject and between-subject comparisons. In addition, we anticipate that patients, healthcare providers and healthcare partners would express high levels of satisfaction with the new service. Conclusion This study will demonstrate the results of the Mental Health and Addictions Program (MHAP) efforts to provide stepped-care, particularly community-based support, to individuals with mental illnesses. Results will provide new insights into a novel community-based approach to mental health service delivery and contribute to knowledge on how to implement mental health programs across varying contexts

Additional file 1 of Reducing wait times and avoiding unnecessary use of high-cost mental health services through a Rapid Access and Stabilization Program: protocol for a program evaluation study

Additional file 1: Table S1. Gantt chart timeline for Study 1

Augmenting Mental Health Support for Patients Accessing Different Degrees of Formal Psychiatric Care through a Supportive Text Messaging Program: Protocol for a Randomized Controlled Trial

Patients feel more vulnerable when accessing community mental health programs for the first time or after being discharged from psychiatric inpatient units. Long wait times for follow-up appointments, shortage of mental health professionals, lack of service integration, and scarcity of tailored support can weaken their connection to the health care system. As a result, patients can present low adherence, dissatisfaction with treatment, and recurrent hospitalizations. Finding solutions to avoid unnecessary high-cost services and providing tailored and cost-effective mental health interventions may reduce the health system burden and augment patient support. We propose implementing an add-on, supportive text messaging service (Text4Support), developed using cognitive–behavioural therapy (CBT) principles to augment mental health support for patients attending to or being discharged from psychiatric care in Nova Scotia, Canada. This randomized controlled trial aims to investigate the effectiveness of Text4Support in improving mental health outcomes and overall mental well-being compared with usual care. We also will examine the intervention’s impact on health services utilization and patient satisfaction. The results from this study will provide evidence on stepped and technology-based mental health care, which will contribute to generating new knowledge about mental health innovations in various clinical contexts, which is not only helpful for the local context but to other jurisdictions in Canada and abroad that are seeking to improve their health care