Increasing Public Participation in Municipal Solid Waste Reduction

Municipal solid waste (MSW) presents environmental, social, and economic problems. Enlisting the public in reducing MSW has proven to be difficult in a variety of cultures and economies. Although the waste diversion practice of recycling is well-known, other waste minimization behaviors remain unknown and unpracticed by the majority of the population. There is room for improvement in waste minimization and waste diversion participation. This paper examines research into what motivates and what hinders participation in waste diversion and minimization practices by drawing out the common factors found in a wide spectrum of studies. Fear of the actual and perceived dangers of waste, combined with social norms and stigmas attached to waste, have precluded most societies from making more radical changes in their waste systems. Recommendations for increasing participation in both the industrialized and developing nations reflect the findings of research into what has been successful and what needs to be overcome. Waste and consumption practices are multi-dimensional and the methods for engaging the public in reducing MSW must incorporate feelings, practical considerations, and education

Lesbian, Gay, and Bisexual Inclusion in the Military: A Qualitative Look at Military Culture a Decade after the Repeal of Don’t Ask, Don’t Tell

In 2010, the very controversial Don’t Ask, Don’t Tell (DADT) policy was repealed, allowing lesbian, gay, and bisexual (LGB) members to serve openly in the military without fear of legal persecution. Now that a decade has passed, this research seeks to find whether LGB service members feel safe and comfortable serving openly in the military ranks; whether some groups—perhaps those in more protected or privileged positions—feel more safe, whereas others feel less safe; and whether LGB military members are pressured to adhere to homonormativity to be accepted in the military.I conducted a qualitative study with semi-structured interviews to answer these research questions. I used snowball sampling to find and interview 20 cisgender lesbian, gay, and bisexual service members who served either both during DADT’s implementation and after its repeal, or only after DADT’s repeal. The research revealed that, while most LGB military members feel comfortable being gay and out now in a post-DADT military, some do not. Further, the militarization of hegemonically masculine ideals privileges certain LGB military members (i.e., lesbians, those in non-operational support units, those who are homonormatively performative) and disadvantages others (i.e., gay men in the Marine Corps and in special operations), allowing some populations to feel safer being gay and out in the military than others. Finally, LGB military members reproduce militarized masculinity by adhering to homonormativity through the performance of invisible labor in the form of emotional work

Snus: a compelling harm reduction alternative to cigarettes

Snus is an oral smokeless tobacco product which is usually placed behind the upper lip, either in a loose form or in portioned sachets, and is primarily used in Sweden and Norway. The purpose of this review is to examine the reported effects of snus use in relation to specified health effects, namely lung cancer, cardiovascular disease, pancreatic cancer, diabetes, oral cancer and non-neoplastic oral disease. The review also examines the harm reduction potential of snus as an alternative to cigarettes by comparing the prevalence of snus use and cigarette smoking, and the reported incidence of tobacco-related diseases across European Union countries. The scientific literature generally indicates that the use of snus is not a significant risk factor for developing lung cancer, cardiovascular disease, pancreatic cancer or oral cancer. Studies investigating snus use and diabetes have reported that high consumption of snus (estimated as being four or more cans per week) may be associated with a higher risk of developing diabetes or components of metabolic syndrome; however, overall results are not conclusive. Snus use is associated with the presence of non-neoplastic oral mucosal lesions which are reported to heal rapidly once use has stopped. The most recent Eurobarometer data from 2017 reported that Sweden had the lowest prevalence of daily cigarette use in the European Union at 5% whilst daily “oral tobacco” use was reported to be 20%. European data published by the World Health Organisation in 2018 indicated that Sweden had the lowest rate of tobacco-related mortality and the lowest incidence of male lung cancer. Overall, prevalence statistics and epidemiological data indicate that the use of snus confers a significant harm reduction benefit which is reflected in the comparatively low levels of tobacco-related disease in Sweden when compared with the rest of Europe. The available scientific data, including long-term population studies conducted by independent bodies, demonstrates that the health risks associated with snus are considerably lower than those associated with cigarette smoking

Facilitating treatment engagement for early psychosis through peer-delivered decision support : Intervention development and protocol for pilot evaluation

Background: Emerging adults with early psychosis demonstrate high rates of service disengagement from critical early intervention services. Decision support interventions and peer support have both been shown to enhance service engagement but are understudied in this population. The purposes of this article are to describe the development of a novel peer-delivered decision coaching intervention for this population and to report plans for a pilot study designed to gather preliminary data about its feasibility, acceptability, and potential impact. Methods: The intervention was developed based on formative qualitative data and in collaboration with a diverse team of researchers, key stakeholders, and expert consultants. The pilot trial will utilize a single-group (N = 20), pre-post, convergent mixed-methods design to explore whether and how the intervention addresses decision-making needs (the primary intervention target). The impact of the intervention on secondary outcomes (e.g., engagement in the program) will also be assessed. Additionally, through observation and feedback from the peer decision coach and study participants, we will evaluate the feasibility of research and intervention procedures, and the acceptability of information and support from the peer decision coach. Discussion: The peer-delivered decision coaching intervention holds promise for assisting young people with making informed and values-consistent decisions about their care, and potentially enhancing service engagement within this traditionally difficult-to-engage population. If the intervention demonstrates feasibility and acceptability, and pilot data show its potential for improving treatment decision-making, our work will also lay the foundation for a new evidence base regarding roles for peer specialists on early intervention teams

Acceptability of Home Monitoring for Neovascular Age-Related Macular Degeneration Reactivation: A Qualitative Study

This study formed part of a diagnostic test accuracy study to quantify the ability of three index home monitoring (HM) tests (one paper-based and two digital tests) to identify reactivation in Neovascular age-related macular degeneration (nAMD). The aim of the study was to investigate views about acceptability and explore adherence to weekly HM. Semi-structured interviews were held with 98 patients, family members, and healthcare professionals. A thematic approach was used which was informed by theories of technology acceptance. Various factors influenced acceptability including a patient’s understanding about the purpose of monitoring. Training and ongoing support were regarded as essential for overcoming unfamiliarity with digital technology. Findings have implications for implementation of digital HM in the care of older people with nAMD and other long-term conditions

Feed Restriction Modulates the Fecal Microbiota Composition, Nutrient Retention, and Feed Efficiency in Chickens Divergent in Residual Feed Intake

Publication histroy: Accepted - 23 October 2018; Published - 19 November 2019.There is a great interest to understand the impact of the gut microbiota on host’s nutrient use and FE in chicken production. Both chicken’s feed intake and gut bacterial microbiota differ between high and low-feed efficient chickens. To evaluate the impact of the feed intake level on the feed efficiency (FE)-associated variation in the chicken intestinal microbiota, differently feed efficient chickens need to eat the same amount of feed, which can be achieved by feeding chickens restrictively. Therefore, we investigated the effect of restrictive vs. ad libitum feeding on the fecal microbiome at 16 and 29 days posthatch (dph), FE and nutrient retention in chickens of low and high residual feed intake (RFI; metric for FE). Restrictively fed chickens were provided the same amount of feed which corresponded to 85% of the ad libitum fed group from 9 dph. FE was determined for the period between 9 and 30 dph and feces for nutrient retention were collected on 31 to 32 dph. From the 112 chickens (n = 56 fed ad libitum, and n = 56 fed restrictively), 14 low RFI and 15 high RFI ad libitum fed chickens, and 14 low RFI (n = 7 per sex) and 14 high RFI restrictively fed chickens were selected as the extremes in RFI and were retrospectively chosen for data analysis. Bray-Curtis dissimilarity matrices showed significant separation between time points, and feeding level groups at 29 dph for the fecal bacterial communities. Relevance networking indicated positive associations between Acinetobacter and feed intake at 16 dph, whereas at 29 dph Escherichia/Shigella and Turicibacter positively and Lactobacillus negatively correlated to chicken’s feed intake. Enterobacteriaceae was indicative for low RFI at 16 dph, whereas Acinetobacter was linked to high RFI across time points. However, restrictive feeding-associated changes in the fecal microbiota were not similar in low and high RFI chickens, whichmay have been related to the higher nutrient retention and thus lower fecal nutrient availability in restrictively fed high RFI chickens. Thismay also explain the decreased RFI value in restrictively fed high RFI chickens indicating improved FE, with a stronger effect in females.This project (ECO-FCE) has received funding from the European Union’s Seventh Framework Programme for research, technological development and demonstration under grant agreement No. 311794

Homelessness in Howard County

Final project for GVPT388L: Maryland Politics, Policy and Leadership (Fall 2015). University of Maryland, College Park.The ten undergraduate students in this government and policy class were asked to examine homelessness in Howard County as part of the PALS program. Each of them researched the extent of the problem, the services in place to address it, how homelessness is addressed in comparable U.S. counties, and proposals that Howard County could adapt. Each of the ten papers thus overlaps some with others, especially in their description of current County conditions and programs. Their comparative assessment of comparable county programs, however, yields over a dozen examples of interest to Howard County. It is in their recommendations and proposals that the papers will be of greatest interest and use to the County. Numerous ideas are presented and the reader focused on the “bottom line” can peruse these sections of each paper to glean ideas.Howard Count

Transcriptomic evidence for modulation of host inflammatory responses during febrile Plasmodium falciparum malaria

Identifying molecular predictors and mechanisms of malaria disease is important for understanding how Plasmodium falciparum malaria is controlled. Transcriptomic studies in humans have so far been limited to retrospective analysis of blood samples from clinical cases. In this prospective, proof-of-principle study, we compared whole-blood RNA-seq profiles at pre-and post-infection time points from Malian adults who were either asymptomatic (n = 5) or febrile (n = 3) during their first seasonal PCR-positive P. falciparum infection with those from malaria-naïve Dutch adults after a single controlled human malaria infection (n = 5). Our data show a graded activation of pathways downstream of pro-inflammatory cytokines, with the highest activation in malaria-naïve Dutch individuals and significantly reduced activation in malaria-experienced Malians. Newly febrile and asymptomatic infections in Malians were statistically indistinguishable except for genes activated by pro-inflammatory cytokines. The combined data provide a molecular basis for the development of a pyrogenic threshold as individuals acquire immunity to clinical malaria