Healthcare Stereotype Threat in Older Adults in the Health and Retirement Study

Introduction Healthcare stereotype threat is the threat of being personally reduced to group stereotypes that commonly operate within the healthcare domain, including stereotypes regarding unhealthy lifestyles and inferior intelligence. The objective of this study was to assess the extent to which people fear being judged in healthcare contexts on several characteristics, including race/ethnicity and age, and to test predictions that experience of such threats would be connected with poorer health and negative perceptions of health care. Methods Data were collected as part of the 2012 Health and Retirement Study (HRS). A module on healthcare stereotype threat, designed by the research team, was administered to a random subset (n=2,048 of the total 20,555) of HRS participants. The final sample for the present healthcare stereotype threat experiment consists of 1,479 individuals. Logistic regression was used to test whether healthcare stereotype threat was associated with self-rated health, reported hypertension, and depressive symptoms, as well as with healthcare-related outcomes, including physician distrust, dissatisfaction with health care, and preventative care use. Results Seventeen percent of respondents reported healthcare stereotype threat with respect to one or more aspects of their identities. As predicted, healthcare stereotype threat was associated with higher physician distrust and dissatisfaction with health care, poorer mental and physical health (i.e., self-rated health, hypertension, and depressive symptoms), and lower odds of receiving the influenza vaccine. Conclusions The first of its kind, this study demonstrates that people can experience healthcare stereotype threat on the basis of various stigmatized aspects of social identity, and that these experiences can be linked with larger health and healthcare-related outcomes, thereby contributing to disparities among minority groups

Understanding Teacher Morale

This study emerged from discussions within the Policy and Planning Council of the Metropolitan Educational Research Consortium (MERC), a research alliance between Virginia Commonwealth University’s School of Education and seven surrounding school divisions. The project has two goals. The first goal is to develop an understanding of the factors that impact teachers’ experience of their work in the current PK12 public school context. Although this topic could be, and has been, investigated through a number of lenses (e.g., burnout, trust, motivation), this project focuses on the idea of teacher morale, a choice that will be discussed in detail in the next section of the report. The study addresses the following three questions: 1. How do teachers experience job satisfaction and morale? 2. What are the dynamics between a teacher’s job related ideal and the professional culture of the school that support or hinder the experience of job satisfaction and morale? 3. How do differences between schools related to policy context and social context affect the dynamics of job satisfaction and morale? To answer these questions MERC assembled a research team comprised of a university researcher, graduate students, and a team of school personnel from the MERC school divisions. Over the course of two years, the team developed a conceptual framework for understanding teacher morale, designed a research study that involved observing and interviewing teachers (n=44) across three purposefully selected middle schools in the Richmond region, and then collected and analyzed the data. This report shares both the process and the findings of this collaborative research effort. The second goal of this research project is to support action by local policy makers, school division leaders, central office personnel, principals, and teachers. The study was commissioned by local school leaders not just to document and reflect on teacher morale, but more importantly to do something about it. As argued above, teachers and the conditions of teachers’ work matters for our students, our schools, and the well being of our communities and society. In this regard, this report is only one piece of this project’s action and impact plan. While the report does contain a series of recommendations based on findings and how they can be used, the release of the report is tied to additional dissemination and professional development efforts designed to effect change

Brain Activity During Autobiographical Retrieval Is Modulated by Emotion and Vividness: Informing the Role of the Amygdala

Growing evidence indicates that the amygdala contributes to processing both emotional stimuli and highly vivid episodic memories. The present research used event-related potentials (ERPs) to examine the individual and joint contributions of these dimensions on the neural responses to naturalistic stimuli, namely, autobiographical memories, which vary in terms of associated emotion and the vividness of recollection. In Experiment 1, participants recalled positive and negative personal memories, and memories for which no mention of emotion was made. Events recollected with high vividness showed no effect of emotion, whereas ERPs for events recollected with low vividness differed for both positive and negative memories versus non-emotional memories. The conjoint effects of emotion and vividness reflect the correlation of these variables in everyday life: more emotional memories are more vividly recalled. In Experiment 2, we pursued the interaction of emotion and vividness by asking participants to recall negative high-arousal, negative low-arousal, and emotionally neutral memories. Processing differed by vividness but not by emotion condition. The research implies that focus on the emotional valence associated with a memory, without conjoint consideration of how vividly it is recalled, neglects a critical determinant of neural processes that are modulated by the amygdala during recall of autobiographical memories

COPA Financing and Fundraising Mechanism: A Review and Concept

Written on behalf of the Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH and the German Federal Ministry for Economic Affairs and Climate Action (BMWK), this study is a contribution to the development of a financing mechanism (FM) for the sustainable refrigerant management of ODS/HFC banks in current and future partner countries of the Climate and Ozone Protection Alliance (COPA) which seeks to accelerate the mitigation measures needed to address these amounts

Carbon footprint of inhalers in respiratory treatment : SABA CARBON International

Funding statement: The study was designed and funded by AstraZenecaPeer reviewedPostprin

Greenhouse Gas Emissions from Respiratory Treatments : Results from the SABA CARBON International Study

Acknowledgements Medical Writing, Editorial, and Other Assistance Medical writing and editorial support were provided by Tejaswini Subbannayya, PhD, of Cactus Life Sciences (part of Cactus Communications, Mumbai, India), in accordance with Good Publication Practice (GPP3) guidelines (http://www.ismpp.org/gpp3). This support was fully funded by AstraZeneca. Funding AstraZeneca funded the study; was involved in the study design, protocol development, study conduct and statistical analysis; and was given the opportunity to review the manuscript before submission. AstraZeneca also funded medical writing support and the development of the graphical abstract. AstraZeneca funded the journal’s Rapid Service and Open Access fees.Peer reviewedPublisher PD

Once and Future Gulf of Mexico Ecosystem: Restoration Recommendations of an Expert Working Group

The Deepwater Horizon (DWH) well blowout released more petroleum hydrocarbons into the marine environment than any previous U.S. oil spill (4.9 million barrels), fouling marine life, damaging deep sea and shoreline habitats and causing closures of economically valuable fisheries in the Gulf of Mexico. A suite of pollutants—liquid and gaseous petroleum compounds plus chemical dispersants—poured into ecosystems that had already been stressed by overfishing, development and global climate change. Beyond the direct effects that were captured in dramatic photographs of oiled birds in the media, it is likely that there are subtle, delayed, indirect and potentially synergistic impacts of these widely dispersed, highly bioavailable and toxic hydrocarbons and chemical dispersants on marine life from pelicans to salt marsh grasses and to deep-sea animals. As tragic as the DWH blowout was, it has stimulated public interest in protecting this economically, socially and environmentally critical region. The 2010 Mabus Report, commissioned by President Barack Obama and written by the secretary of the Navy, provides a blueprint for restoring the Gulf that is bold, visionary and strategic. It is clear that we need not only to repair the damage left behind by the oil but also to go well beyond that to restore the anthropogenically stressed and declining Gulf ecosystems to prosperity-sustaining levels of historic productivity. For this report, we assembled a team of leading scientists with expertise in coastal and marine ecosystems and with experience in their restoration to identify strategies and specific actions that will revitalize and sustain the Gulf coastal economy. Because the DWH spill intervened in ecosystems that are intimately interconnected and already under stress, and will remain stressed from global climate change, we argue that restoration of the Gulf must go beyond the traditional "in-place, in-kind" restoration approach that targets specific damaged habitats or species. A sustainable restoration of the Gulf of Mexico after DWH must: 1. Recognize that ecosystem resilience has been compromised by multiple human interventions predating the DWH spill; 2. Acknowledge that significant future environmental change is inevitable and must be factored into restoration plans and actions for them to be durable; 3. Treat the Gulf as a complex and interconnected network of ecosystems from shoreline to deep sea; and 4. Recognize that human and ecosystem productivity in the Gulf are interdependent, and that human needs from and effects on the Gulf must be integral to restoration planning. With these principles in mind, the authors provide the scientific basis for a sustainable restoration program along three themes: 1. Assess and repair damage from DWH and other stresses on the Gulf; 2. Protect existing habitats and populations; and 3. Integrate sustainable human use with ecological processes in the Gulf of Mexico. Under these themes, 15 historically informed, adaptive, ecosystem-based restoration actions are presented to recover Gulf resources and rebuild the resilience of its ecosystem. The vision that guides our recommendations fundamentally imbeds the restoration actions within the context of the changing environment so as to achieve resilience of resources, human communities and the economy into the indefinite future

A Once and Future Gulf of Mexico Ecosystem: Restoration Recommendations of an Expert Working Group

The Deepwater Horizon (DWH) well blowout released more petroleum hydrocarbons into the marine environment than any previous U.S. oil spill (4.9 million barrels), fouling marine life, damaging deep sea and shoreline habitats and causing closures of economically valuable fisheries in the Gulf of Mexico. A suite of pollutants — liquid and gaseous petroleum compounds plus chemical dispersants — poured into ecosystems that had already been stressed by overfishing, development and global climate change. Beyond the direct effects that were captured in dramatic photographs of oiled birds in the media, it is likely that there are subtle, delayed, indirect and potentially synergistic impacts of these widely dispersed, highly bioavailable and toxic hydrocarbons and chemical dispersants on marine life from pelicans to salt marsh grasses and to deep-sea animals. As tragic as the DWH blowout was, it has stimulated public interest in protecting this economically, socially and environmentally critical region. The 2010 Mabus Report, commissioned by President Barack Obama and written by the secretary of the Navy, provides a blueprint for restoring the Gulf that is bold, visionary and strategic. It is clear that we need not only to repair the damage left behind by the oil but also to go well beyond that to restore the anthropogenically stressed and declining Gulf ecosystems to prosperity-sustaining levels of historic productivity. For this report, we assembled a team of leading scientists with expertise in coastal and marine ecosystems and with experience in their restoration to identify strategies and specific actions that will revitalize and sustain the Gulf coastal economy. Because the DWH spill intervened in ecosystems that are intimately interconnected and already under stress, and will remain stressed from global climate change, we argue that restoration of the Gulf must go beyond the traditional “in-place, in-kind” restoration approach that targets specific damaged habitats or species. A sustainable restoration of the Gulf of Mexico after DWH must: 1. Recognize that ecosystem resilience has been compromised by multiple human interventions predating the DWH spill; 2. Acknowledge that significant future environmental change is inevitable and must be factored into restoration plans and actions for them to be durable; 3. Treat the Gulf as a complex and interconnected network of ecosystems from shoreline to deep sea; and 4. Recognize that human and ecosystem productivity in the Gulf are interdependent, and that human needs from and effects on the Gulf must be integral to restoration planning. With these principles in mind, we provide the scientific basis for a sustainable restoration program along three themes: 1. Assess and repair damage from DWH and other stresses on the Gulf; 2. Protect existing habitats and populations; and 3. Integrate sustainable human use with ecological processes in the Gulf of Mexico. Under these themes, 15 historically informed, adaptive, ecosystem-based restoration actions are presented to recover Gulf resources and rebuild the resilience of its ecosystem. The vision that guides our recommendations fundamentally imbeds the restoration actions within the context of the changing environment so as to achieve resilience of resources, human communities and the economy into the indefinite future