Hunger Doesn't Take a Vacation: Summer Nutrition Status Report

This report measures the reach of the Summer Nutrition Programs in July 2015, nationally and in each state. This report is based on a variety of metrics and it examines the impact of trends and policies on program participation.First, the report looks at lunch participation in the Summer Nutrition Programs -- the Summer Food Service Program (SFSP) and the National School Lunch Program (NSLP), among children certified for free and reduced-price meals, combined -- using free and reduced-price participation in NSLP in the prior regular school year as a benchmark against which to compare summer. Because there is broad participation in the regular school year lunch program by low-income students across the states, it is a useful comparison by which to measure how many students could -- and should -- be benefiting from the Summer Nutrition Programs.Second, the report looks at the number of sponsors and sites operating SFSP, as this is an important indicator of access to the program for low-income children in the states.Finally, the report sets an ambitious, but achievable, goal of reaching 40 children with the Summer Nutrition Programs for every 100 participating in school lunch and calculates the number of unserved children and the federal dollars lost in each state that is not meeting this goal

Policy Addressing Family Presence During Resuscitation

When hospitals became the primary care setting for very ill patients, visiting hours and restrictions related to family presence during resuscitation (FPDR) became common. During medical crises that occur in hospital settings, families are separated from loved ones because family members may impair resuscitation efforts or such efforts might psychologically traumatize family members. Various national health care organizations have endorsed family presence during resuscitation; however, practices preventing family presence persist. This project used evidence from the peer-reviewed literature to develop a healthcare institution policy that addresses family presence during resuscitation. Theories, concepts, and models that guided this DNP project included: (a) theory of reasoned action; (b) family systems theory; (c) FPDR concepts (nurses\u27 practices and beliefs, critical care professionals\u27 opinions, practice guidelines); and the Plan, Do, Study, Act model. A systematic review of the literature was carried out to develop the policy. An interdisciplinary team of 7 professionals was assembled to contribute to policy development using literature from peer-reviewed journal articles. Products developed included the family presence during resuscitation policy and plans for implementing and evaluating the policy. This project holds potential to contribute to positive social change by giving patients and families the opportunity to witness and understand emergency care practices

Support for Drought Response and Community Preparedness: Filling the Gaps between Plans and Action

This chapter examines which levels of government handle various aspects of drought, as well as interactions between levels of government, providing examples from states across the western United States. It also takes a look at aspects of drought that fall outside traditional lines of authority and disciplinary boundaries. As part of a discussion on how states support local drought response, the chapter details and contrasts how California and Colorado track public water supply restrictions, and describes Colorado’s process for incorporating input from river basins across the state into its water plan. Case studies focus on drought planning in the Klamath River and Upper Colorado River basins through the lens of collaborative environmental planning. The chapter concludes that drought planning will be more effective as more states coordinate and align goals and policies at multiple levels of government

Reproductive Justice Disrupted: Mass Incarceration as a Driver of Reproductive Oppression

We describe how mass incarceration directly undermines the core values of reproductive justice and how this affects incarcerated and nonincarcerated women. Mass incarceration, by its very nature, compromises and undermines bodily autonomy and the capacity for incarcerated people to make decisions about their reproductive well being and bodies; this is done through institutionalized racism and is disproportionately done to the bodies of women of color. This violates the most basic tenets of reproductive justice—the right to have a child, not to have a child, and to parent the children you have with dignity and in safety. By undermining motherhood and safe pregnancy care, denying access to abortion and contraception, and preventing people from parenting their children at all and by doing so in over-policed, unsafe environments, mass incarceration has become a driver of forms of reproductive oppression for people in prison and jails and in the community

Support for Drought Response and Community Preparedness: Filling the Gaps between Plans and Action

This chapter examines which levels of government handle various aspects of drought, as well as interactions between levels of government, providing examples from states across the western United States. It also takes a look at aspects of drought that fall outside traditional lines of authority and disciplinary boundaries. As part of a discussion on how states support local drought response, the chapter details and contrasts how California and Colorado track public water supply restrictions, and describes Colorado’s process for incorporating input from river basins across the state into its water plan. Case studies focus on drought planning in the Klamath River and Upper Colorado River basins through the lens of collaborative environmental planning. The chapter concludes that drought planning will be more effective as more states coordinate and align goals and policies at multiple levels of government

Emerging Bicultural Views of Fatherhood: Perspectives of Puerto Rican Fathers

Puerto Rican fathers remain an understudied population despite the growing Latino community in the U.S. Understanding how Puerto Rican fathers perceive their roles as fathers can inform our conceptualization of their engagement with children as well as the development of culturally-specific parenting interventions. In this qualitative study, focus groups were conducted with Puerto Rican men to identify their perceptions of their role as a father and how individual, child, and cultural influences may relate to these roles. Parenting roles identified by fathers in the study were: being there, maintaining open communication, building confidence, preparing for adulthood, teaching culture/values, and providing a role model for their children. The study also explored father and child characteristics, history with their own father, and a hybrid cultural perspective as influences on Puerto Rican fathers’ perceptions of their parenting roles. Due to the increasing population of Puerto Rican and other Latino sub-groups, providers and social workers working with Puerto Rican families should understanding the perceived parenting roles within families to better engage and support fathers and families within this growing population

A Call to Action: Person-Centered Care Aligned with Reproductive Justice for Incarcerated Pregnant People with Substance Use Disorder

Although research has proven that jails and prisons are ineffective in preventing or reducing substance use among pregnant people, the USA continues to rely heavily on the criminal legal system as its intervention. Pregnant people with an opioid use disorder are more likely to experience incarceration than pregnant people without an opioid use disorder. In some states, pregnant people are transported from jail to prison through the process of safekeeping in order to receive physical or mental health care that the jail does not provide, despite conviction status. When pregnant and postpartum safekeepers with an opioid use disorder experience incarceration, they face barriers related to continuity of physical and behavioral health care, have limited access to maternal-infant attaching opportunities at delivery, and are at risk for an opioid-related overdose upon release. This commentary describes clinical care challenges that impact the reproductive health needs of pregnant safekeepers with an opioid use disorder and offers solution-focused innovations to reduce harm. Such solutions include uninterrupted optimal dosing of medication and integrated prenatal clinics, specialized substance use disorder treatment, and opportunities to integrate lactation programs and perinatal dyadic-focused services

The Effect of Token Economies on Student Behavior in the Preschool Classroom: A Meta-Analysis

There has been a recent push in the literature to identify and use more evidence-based practices for positive behavioral supports for challenging student behaviors in the classroom environment. Further, interest in targeting early education environments such as preschool has been growing given the persistence of behavioral difficulties in the absence of early and effective intervention (Campbell & Ewing, 1990; Kazdin, 1987; Powell et al., 2006; Stormont, 2002). Two previous meta-analyses (Maggin et al., 2011; Soares et al., 2016) provided some initial support for effectiveness of token economies with challenging student behavior; however, the inclusion of the preschool setting was limited and both studies used older versions of design standards to evaluate the quality of studies in the literature. The present study served to extend those meta-analyses by targeting preschool classrooms. Further, the current study included the most recent What Works Clearinghouse Design Standards to evaluate whether token economies meet criteria as an evidence-based practice. Ten studies were included in the final analyses. Two sets of effect sizes were calculated: Baseline-Corrected Tau and Hedge’s g. An omnibus effect size showed an overall large effect; however, similar to previous meta-analyses, several methodological concerns were identified. Moderator analyses for several variables were conducted; however, no moderator analyses were significant. Limitations and future directions were discussed

Striking reduction of amyloid plaque burden in an Alzheimer's mouse model after chronic administration of carmustine

BACKGROUND: Currently available therapies for Alzheimer's disease (AD) do not treat the underlying cause of AD. Anecdotal observations in nursing homes from multiple studies strongly suggest an inverse relationship between cancer and AD. Therefore, we reasoned that oncology drugs may be effective against AD. METHODS: We screened a library of all the FDA-approved oncology drugs and identified bis-chloroethylnitrosourea (BCNU or carmustine) as an effective amyloid beta (Aβ) reducing compound. To quantify Aβ levels, Chinese hamster ovary (CHO) cells stably expressing amyloid precursor protein 751WT (APP751WT) called 7WD10 cells were exposed to different concentrations of BCNU for 48 hours and the conditioned media were collected. To detect Aβ the conditioned media were immunoprecipitated with Ab9 antibody and subjected to immunoblot detection. Amyloid plaques were quantified in the brains of a mouse model of AD after chronic exposure to BCNU by thoflavin S staining. RESULTS: BCNU decreased normalized levels of Aβ starting from 5 μM by 39% (P < 0.05), 10 μM by 51% (P < 0.01) and 20 μM by 63% (P < 0.01) in CHO cells compared to a control group treated with butyl amine, a structural derivative of BCNU. Interestingly, soluble amyloid precursor protein α (sAPPα) levels were increased to 167% (P < 0.01) at 0.5 μM, 186% (P < 0.05) at 1 μM, 204% (P < 0.01) at 5 μM and 152% (P < 0.05) at 10 μM compared to untreated cells. We also tested the effects of 12 structural derivatives of BCNU on Aβ levels, but none of them were as potent as BCNU. BCNU treatment at 5 μM led to an accumulation of immature APP at the cell surface resulting in an increased ratio of surface to total APP by 184% for immature APP, but no change in mature APP. It is also remarkable that BCNU reduced Aβ generation independent of secretases which were not altered up to 40 μM. Interestingly, levels of transforming growth factor beta (TGFβ) were increased at 5 μM (43%, P < 0.05), 10 μM (73%, P < 0.01) and 20 μM (92%, P < 0.001). Most significantly, cell culture results were confirmed in vivo after chronic administration of BCNU at 0.5 mg/kg which led to the reduction of Aβ40 by 75% and amyloid plaque burden by 81%. Conversely, the levels of sAPPα were increased by 45%. CONCLUSIONS: BCNU reduces Aβ generation and plaque burden at non-toxic concentrations possibly through altered intracellular trafficking and processing of APP. Taken together these data provided unequivocal evidence that BCNU is a potent secretase-sparing anti-Aβ drug. See related commentary article here http://www.biomedcentral.com/1741-7015/11/8

Political ideology and American intergroup discrimination: A patriotism perspective

In this research we take the theoretical approach advocated by Greenwald and Pettigrew (2014) and demonstrate the powerful role of ingroup favoritism, rather than hostility, in American intergroup biases. Specifically, we take a novel perspective to understanding the relationship between political ideology and discrimination against ethnic-minority Americans by focusing on the role of patriotism. Across three studies, we show that political ideology is a strong predictor of resource allocation biases and this effect is mediated by American patriotism and not by prejudice or nationalism. Conservatives report greater levels of patriotism than liberals, and patriotism is associated with donating more to American, as opposed to ethnic-minority American, organizations. We further show that the link between patriotism and partiality to the national group is mediated by stronger ‘American=White’ associations. These findings have important implications for intergroup relations and diversity-related policy issues in the United States