Perceived discrimination, mental health help-seeking attitudes, and suicide ideation, planning, and attempts among black young adults

Background: Developing an understanding of the negative impact of discrimination is critical when examining the suicidality of Black young adults in the US. Suicide rates among Black young adults have increased at alarming rates. One of the reasons for this increase is the disparities related to access to mental health services, which has long-term health consequences. This study addresses a significant gap in the literature by examining associations between experiences of everyday discrimination, attitudes towards mental health help-seeking attitudes, on the outcomes suicide ideation, planning to die by suicide, and suicide attempts. Methods: The data came from a national study of the experiences of Black young adults regarding mental, physical, and sexual health. Participants were recruited from across the Midwestern region of the United States through Qualtrics Panels, an online survey delivery service used to recruit study participants. The total sample for this study was N = 362, and the average age of the sample was 21 (SD: 1.96). We used a logistic regression analysis to examine the role of everyday discrimination, mental health support-seeking attitudes, and covariates on the outcomes: suicide ideation, planning to die by committing suicide, and suicide attempts. Results: Black young adults with positive mental health help-seeking attitudes were 34% less likely to attempt suicide (OR = 0.66; 95% CI: 0.46, 0.96) and 35% less likely to experience suicide ideation (OR = 0.65; 95% CI: 0.47, 0.89). However, those young adults who experienced discrimination daily were more likely to report having attempted suicide (OR = 1.70; 95% CI: 1.34, 2.15). Conclusions: Our findings offer valuable insights into the complex interplay between experiences of discrimination, attitudes toward seeking mental health support, and suicidal behaviors. However, our research also underscores how experiences of discrimination can significantly exacerbate feelings of isolation, hopelessness, and inadequacy, further contributing to suicidal behaviors in this population. By promoting positive mental health help-seeking behaviors, actively addressing discrimination, and applying an intersectional approach to suicide prevention efforts, we can take significant strides towards building a more supportive and inclusive society. This approach aims to empower individuals to seek help, reduce the risk of suicidal behaviors, and create a more welcoming environment for all members of our community.</p

UMA FERRAMENTA PARA CRIAÇÃO DE VIDEOAULAS INTERATIVAS UTILIZANDO TÉCNICAS DE MARCAÇÃO EM VÍDEOS

Este relato de pesquisa trata da produção de vídeos interativos por docentes do ensino superior para acionar as capacidades humanas, num contexto em que a experimentação fez surgir uma ferramenta computacional para a construção de videoaulas interativas. A educação a distância abriga um grande acervo de conteúdos audiovisuais que precisam ser atualizados à luz das tecnologias digitais e da interatividade. Apresenta como resultado uma ferramenta para a construção de aplicações interativas, a partir da Teoria das Inteligências Múltiplas de Gardner, utilizando um conjunto de técnicas para inserir informações em vídeo, possibilitando a inserção de conteúdo interativo adicional. Como prova de conceito, quatro docentes produziram videoaulas interativas, fazendo uso de trinta e um recursos interativos. As mídias utilizadas foram do tipo imagem, áudio e vídeo. Os testes foram realizados em TV digital interativa, mas é possível o uso noutras plataformas como Internet e dispositivos móveis. Têm como atores o professor, como criador do conteúdo interativo, e o aluno, como usuário do vídeo interativo. Um teste preliminar sobre a utilidade das videoaulas produzidas foi realizado com alunos do ensino superior e do ensino tecnológico. Os achados desta pesquisa podem servir de base para que conteúdos audiovisuais, como videoaulas, possam ser incrementados

Agitar la palabra : participación social y democratización de las comunicaciones

Prólogo. – Introducción / María Soledad Segura. – Primera Parte: Movimientos por la reforma del sistema mediático. La sociedad civil y la democratización de las comunicaciones en Córdoba / María Soledad Segura. – ¿Otro país? La democratización de las comunicaciones en San Luis / Verónica Longo. – Segunda Parte: Organizaciones territoriales y la nueva Ley Audiovisual. Antes y después de la Ley Audiovisual. Prácticas de comunicación en movimientos territoriales / Natalia Gabriela Traversaro. – Los movimientos territoriales y la implementación de la Ley Audiovisual. El Frente Popular Darío Santillán / Joaquín Urioste. Tercera Parte: La comunicación en colectivos socio-políticos y culturales. Política y comunicación. Las prácticas de la organización Casita Cultural / Mariela Villazón. -- Prácticas subalternas. Los derechos a la comunicación y la cultura de las mujeres de Bajada San José / Gabriela Bard Wigdor. – Movimientos que utilizan las TIC en espacios urbanos y mediáticos. El Frente de Mujeres K. / Cecilia Rodoni y Ana Silvina Maldonado. – Cuarta Parte: Medios del sector social. “Odeia a mídia? Seja a mídia!” Problematizações sobre o Centro de Mídia Independente do Brasil / Anderson David Gomes dos Santos. – Una cooperativa de TV merlina en el Programa Polos Audiovisuales / Mariela Quiroga Gil. – Quinta Parte: Medios públicos, acceso y participación. Projetos comunicacionais e democratização dos meios na América Latina. A experiência do sistema multimidiático TeleSUR / Tabita Strassburger. – TV Brasil e NBR. O caso brasileiro no processo de democratização dos meios de comunicação na América Latina / Rafael Foletto.Como queda de manifiesto en casi todos los textos que componen este trabajo colectivo maravillosamente titulado “Agitar la palabra”, ningún debate sobre la democratización de la comunicación -por lo menos en los términos que aquí se plantean podría ser posible sin el cambio de escenario político cultural ocurrido en los últimos años en gran parte de nuestros países de América del Sur. Sin embargo, no basta con decir que hay otras condiciones, que hay mejor situación económica y social, que avanzó la política. Aunque todo esto sea cierto. Sin perder de vista tampoco las diferencias que sin lugar a dudas quedan de manifiesto de país a país y los matices que cada lector aporta a partir de su propio análisis y perspectiva política. Pero lo que resulta más importante de destacar a los efectos de nuestro debate es que cambiaron los actores que protagonizan el escenario político y de la comunicación. Porque los hay nuevos que irrumpieron y porque los tradicionales se modificaron

Clinical trial of laronidase in Hurler syndrome after hematopoietic cell transplantation.

BackgroundMucopolysaccharidosis I (MPS IH) is a lysosomal storage disease treated with hematopoietic cell transplantation (HCT) because it stabilizes cognitive deterioration, but is insufficient to alleviate all somatic manifestations. Intravenous laronidase improves somatic burden in attenuated MPS I. It is unknown whether laronidase can improve somatic disease following HCT in MPS IH. The objective of this study was to evaluate the effects of laronidase on somatic outcomes of patients with MPS IH previously treated with HCT.MethodsThis 2-year open-label pilot study of laronidase included ten patients (age 5-13 years) who were at least 2 years post-HCT and donor engrafted. Outcomes were assessed semi-annually and compared to historic controls.ResultsThe two youngest participants had a statistically significant improvement in growth compared to controls. Development of persistent high-titer anti-drug antibodies (ADA) was associated with poorer 6-min walk test (6MWT) performance; when patients with high ADA titers were excluded, there was a significant improvement in the 6MWT in the remaining seven patients.ConclusionsLaronidase seemed to improve growth in participants &lt;8 years old, and 6MWT performance in participants without ADA. Given the small number of patients treated in this pilot study, additional study is needed before definitive conclusions can be made

The impact of introducing new vaccines on the health system: case studies from six low- and middle-income countries.

OBJECTIVE: We aimed to explore the impacts of new vaccine introductions on immunization programmes and health systems in low- and middle-income countries. METHODS: We conducted case studies of seven vaccine introductions in six countries (Cameroon, PCV;Ethiopia, PCV; Guatemala, rotavirus; Kenya, PCV; Mali, Meningitis A; Mali, PCV; Rwanda, HPV). Inter-views were conducted with 261 national, regional and district key informants and questionnaires were completed with staff from 196 health facilities. Routine data from districts and health facilities were gathered on vaccination and antenatal service use. Data collection and analysis were structured around the World Health Organisation health system building blocks. FINDINGS: The new vaccines were viewed positively and seemed to integrate well into existing health systems. The introductions were found to have had no impact on many elements within the building blocks framework. Despite many key informants and facility respondents perceiving that the new vaccine introductions had increased coverage of other vaccines, the routine data showed no change. Positive effects perceived included enhanced credibility of the immunisation programme and strengthened health workers' skills through training. Negative effects reported included an increase in workload and stock outs of the new vaccine, which created a perception in the community that all vaccines were out of stock in a facility. Most effects were found within the vaccination programmes; very few were reported on the broader health systems. Effects were primarily reported to be temporary, around the time of introduction only. CONCLUSION: Although the new vaccine introductions were viewed as intrinsically positive, on the whole there was no evidence that they had any major impact, positive or negative, on the broader health systems

Cooling our communities: A guidebook on tree planting and light-colored surfacing

This book is a practical guide that presents the current state of knowledge on potential environmental and economic benefits of strategic landscaping and altering surface colors in our communities. The guidebook, reviews the causes, magnitude, and impacts of increased urban warming, then focuses on actions by citizens and communities that can be undertaken to improve the quality of our homes and towns in cost-effective ways

The Policy Dystopia Model:an interpretive analysis of tobacco industry political activity

BACKGROUND: Tobacco industry interference has been identified as the greatest obstacle to the implementation of evidence-based measures to reduce tobacco use. Understanding and addressing industry interference in public health policy-making is therefore crucial. Existing conceptualisations of corporate political activity (CPA) are embedded in a business perspective and do not attend to CPA's social and public health costs; most have not drawn on the unique resource represented by internal tobacco industry documents. Building on this literature, including systematic reviews, we develop a critically informed conceptual model of tobacco industry political activity. METHODS AND FINDINGS: We thematically analysed published papers included in two systematic reviews examining tobacco industry influence on taxation and marketing of tobacco; we included 45 of 46 papers in the former category and 20 of 48 papers in the latter (n = 65). We used a grounded theory approach to build taxonomies of "discursive" (argument-based) and "instrumental" (action-based) industry strategies and from these devised the Policy Dystopia Model, which shows that the industry, working through different constituencies, constructs a metanarrative to argue that proposed policies will lead to a dysfunctional future of policy failure and widely dispersed adverse social and economic consequences. Simultaneously, it uses diverse, interlocking insider and outsider instrumental strategies to disseminate this narrative and enhance its persuasiveness in order to secure its preferred policy outcomes. Limitations are that many papers were historical (some dating back to the 1970s) and focused on high-income regions. CONCLUSIONS: The model provides an evidence-based, accessible way of understanding diverse corporate political strategies. It should enable public health actors and officials to preempt these strategies and develop realistic assessments of the industry's claims