The Sun (XIX)

Block printing on a vintage music sheet. This piece depicts the artist's rendition of the tarot card, "The Sun", in the medium of a block print. This piece emphasizes femininity and self

Respite Partnership Collaborative (RPC) Innovation Project Evaluation: Final Report

The Mental Health Services Act (MHSA)—funded by Proposition 63—supports five unique components: (1) Community Services and Supports, (2) Prevention and Early Intervention, (3) Workforce Education and Training, (4) Capital Facilities and Technology, and (5) Innovative Programs. In September 2010, the Sacramento County Division of Behavioral Health Services (DBHS) initiated a community planning process to develop Sacramento's first Innovation Project. DBHS convened an Innovation Workgroup that developed the Innovation Plan and the Respite Partnership Collaborative (RPC) Innovation Project.Through a competitive selection process, Sacramento County DBHS awarded Sierra Health Foundation: Center for Health Program Management (the Center) a contract to administer the RPC Innovation Project. The RPC Innovation Project is a public-private partnership of the Sacramento County DBHS and the Center. The Center uses MHSA Innovation funding to support the RPC, whose members are from the community at large. RPC members make recommendations for respite service grants to community organizations. The RPC's goal is to increase local mental health respite service options to offer alternatives to hospitalization for community members experiencing a crisis in Sacramento County.American Institutes for Research (AIR) conducted an evaluation of the RPC Innovation Project from April 2013 through March 2016. Evaluation objectives were to assess the extent to which the RPC Innovation Project achieved the following:1. Promoted successful collaboration between public and private organizations (i.e., DBHS and the Center) in Sacramento County2. Demonstrated a community-driven process3. Improved the quality and outcomes of respite services in Sacramento County This report presents findings from evaluation activities, which included stakeholder interviews, RPC member surveys, and document reviews.This report emphasizes data collected in the third year of the evaluation after June 2015. The report begins with a brief history of the RPC Innovation Project. Next we describe evaluation objectives and methods for conducting the evaluation. Finally, we present findings, organized by evaluation objective

Respite Partnership Collaborative (RPC) Innovation Project Evaluation: Report 2

The Mental Health Services Act (MHSA)—funded by Proposition 63—supports five unique components: (1) Community Services and Supports, (2) Prevention and Early Intervention, (3) Workforce Education and Training, (4) Capital Facilities and Technology, and (5) Innovative Programs. In September 2010, the Sacramento County Division of Behavioral Health Services (DBHS) initiated a community planning process to develop Sacramento's first Innovation Project. DBHS convened an Innovation Workgroup that developed the Innovation Plan and the Respite Partnership Collaborative (RPC) Innovation Project. American Institutes for Research (AIR) is conducting an evaluation of the RPC Innovation Project. Evaluation objectives are to assess the extent to which the RPC Innovation Project does the following:Promote successful collaboration between public and private organizations (i.e., DBHS and the Sierra Health Foundation: The Center for Health Program Management [the Center]) in Sacramento CountyDemonstrate a community-driven processImprove the quality and outcomes of respite services in Sacramento CountyTo address the evaluation objectives; the evaluation includes interviews, an RPC survey, a community survey, and a document review. This report presents findings from evaluation activities conducted from June 2014 to April 2015 to DBHS, RPC members, and the Center

Together We Stand, Divided We Fall: Formulating An Interprofessional Care Plan For Alex Simpson

Research poster documenting the following project: Utilizing interprofessional team immersion to develop interprofessional skills among other health care professions to plan for the best course of care for our patient, Alex Simpson.https://dune.une.edu/cecespring2020/1011/thumbnail.jp

Estilos de apego adulto e regulação emocional na população de Quito, Equador

The aim of this study was to explore the association between adult attachment styles and emotion regulation. Two hundred and ninety students between the ages of 18 and 25 participated (M = 21.18; SD = 2.86), coming from various university careers of two higher education institutions in Quito (Ecuador); they were selected by chance grouping. Two instruments were used for the measurement. The first one was the Experiences in Close Relationships-Revised (ECR-R) scale, validated in the Ecuadorian context, which was used to evaluate the type of attachment in romantic relationships. The second instrument was the Difficulties in Emotion Regulation Scale (DERS), in its original version translated into Spanish, used to assess difficulties in emotional regulation. The results showed that secure attachment occurs in a higher percentage of female participants (60 %), that there are no differences by sex in the emotional regulation indicators (p > .05) and that, in the studied population, there is an association between insecure adult attachment styles and emotional dysregulation (p < .05). It is concluded that positive role models of self and of others, as well as low levels of anxiety and avoidance, present in the secure attachment style, are protective factors that contribute to emotional regulation.  El objetivo de este estudio fue explorar la asociación entre estilos de apego adulto y regulación emocional. Participaron 290 estudiantes de 18 a 25 años (M = 21.18; DE = 2.86), procedentes de varias carreras universitarias de dos instituciones de educación superior de Quito (Ecuador), seleccionados por agrupamiento casual. Para la medición se utilizaron dos instrumentos. El primero fue la escala Experiences in Close Relationships-Revised (ECR-R), validada en el contexto ecuatoriano, con la que se evaluó el tipo de apego en las relaciones de pareja. El segundo instrumento fue la escala Difficulties in Emotion Regulation Scale (DERS), en su versión original traducida al castellano, empleada para evaluar dificultades en regulación emocional. Los resultados demostraron que el apego seguro se presenta en mayor porcentaje en las participantes mujeres (60 %), que no existen diferencias por sexo en los indicadores de regulación emocional (p > .05) y que, en la población estudiada, hay una asociación entre estilos inseguros de apego adulto y desregulación emocional (p < .05). Se concluye que los modelos positivos de sí mismo y de los demás, así como los niveles bajos de ansiedad y evitación, presentes en el estilo de apego seguro, constituyen factores protectores que contribuyen a la regulación emocional.  O objetivo da presente investigação foi explorar a associação entre estilos de apego adulto e regulação emocional. Participaram 290 alunos com idades entre 18 e 25 anos (M = 21.18; DP = 2.86), provenientes de vários cursos universitários de duas instituições de educação superior de Quito, selecionados por agrupamento ao acaso. Dois instrumentos foram usados para a medição. O primeiro foi a escala Experiences in Close Relationships-Revised (ECR-R), validada no contexto equatoriano, que foi utilizada para avaliar o tipo de apego nas relações de casal. O segundo instrumento foi a escala Difficulties in Emotion Regulation Scale (DERS), na sua versão original traduzida para o espanhol, que foi utilizada para avaliar as dificuldades na regulação emocional. Os resultados mostraram que o apego seguro está presente em maior porcentagem nas participantes mulheres (60 %), que não há diferenças por sexo nos indicadores de regulação emocional (p > 0,05) e que, na população estudada, há associação entre estilos de apego adulto inseguro e desregulação emocional (p < 0,05). Conclui-se que os modelos positivos de si e dos outros, bem como os baixos níveis de ansiedade e evitação, presentes no estilo de apego seguro, constituem fatores de proteção que contribuem para a regulação emocional.

Differences in Perceptions of the Housing Cost Burden Among European Countries

In this article we perform a comparative analysis of the self-reported perception of the housing cost burden as an indicator of potential financial distress. We employ EU-SILC data on five European countries – France, Germany, Italy, Spain and the UK – for years from 2005 to 2010. Wide differences emerge between Germany, France and the UK on the one hand, and Italy and Spain on the other. Estimation of the housing cost burden by means of logit models allows us to relate the probability of a high burden to both micro and macro-economic variables and to identify differences among countries. As for socio-economic variables, our results reveal the existence of life-cycle effects and a lower burden for homeowners. As for aggregate variables, GDP growth and higher consumer confidence contribute to reducing the probability of a high burden, whereas high levels of unemployment and inequality contribute to increase it. At country level, we observe differences in the size of the impact of the explanatory variables on the probability of perceiving a high burden, especially for covariates such as age, homeownership status and education

Nanoporous micro-element arrays for particle interception in microfluidic cell separation

The ability to control cell-surface interactions in order to achieve binding of specific cell types is a major challenge for microfluidic immunoaffinity cell capture systems. In the majority of existing systems, the functionalized capture surface is constructed of solid materials, where flow stagnation at the solid-liquid interface is detrimental to the convection of cells to the surface. We study the use of ultra-high porosity (99%) nanoporous micro-posts in microfluidic channels for enhancing interception efficiency of particles in flow. We show using both modelling and experiment that nanoporous posts improve particle interception compared to solid posts through two distinct mechanisms: the increase of direct interception, and the reduction of near-surface hydrodynamic resistance. We provide initial validation that the improvement of interception efficiency also results in an increase in capture efficiency when comparing nanoporous vertically aligned carbon nanotube (VACNT) post arrays with solid PDMS post arrays of the same geometry. Using both bacteria (∼1 μm) and cancer cell lines (∼15 μm) as model systems, we found capture efficiency increases by 6-fold and 4-fold respectively. The combined model and experimental platform presents a new generation of nanoporous microfluidic devices for cell isolation

Gender differences in patients with COVID-19: a narrative review

In December 2019 a novel coronavirus emerged in Wuhan, China causing many cases of severe pneumonia. World Health Organization (WHO) named this disease Coronavirus Disease 2019 (COVID-19). The infection has rapidly spread across China to many other countries, and on March 12, 2020 the WHO declared pandemic outbreak of COVID-19. As of May 16, 2020, COVID-19 has been diagnosed in more than 4,490,000 patients, associated to 305,976 deaths worldwide; in Italy 224,760 COVID-19 cases have been reported with 31,763 deaths. The main routes of transmission are respiratory droplets and direct contact with infected people, so numerous prevention strategies are employed to mitigate the spread of disease, including social distancing and isolation. The aim of this narrative review is to underline gender differences in epidemiology, etiopathogenesis, risk factors, clinical presentation, diagnosis, prognosis and mortality of patients infected with SARS-CoV-2. Currently data on the sex indicators for admitted or deceased patients are only available, but there is no analysis about other gender indicators. The data considered in our study are the only currently available in the literature, but it is appropriate to implement a specific analysis with all gender indicators to identify appropriate strategies. Moreover, the evaluation of a health service efficiency is a key element to define gender outcomes. Knowing the gender differences in COVID-19 outbreak would be a fundamental tool to understand the effects of a health emergency on individuals and communities as well as to carry out effective and equitable policies, public health measures and targeted solutions

Respite Partnership Collaborative (RPC) Innovation Project Evaluation: Report 1

The Mental Health Services Act (MHSA)—funded by Proposition 63—was enacted in California in November 2004. MHSA funding supports five unique components: (1) Community Services and Supports, (2) Prevention and Early Intervention, (3) Workforce Education and Training, (4) Capital Facilities and Technology, and (5) Innovative Programs. Innovative programs contribute to learning by testing new approaches to inform current and future practices.In September 2010, the Sacramento County Division of Behavioral Health Services (DBHS) initiated a community planning process to develop Sacramento County's first Innovation Project. Through community input, the Respite Partnership Collaborative (RPC) Innovation Project was created with the goal to create alternatives to hospitalization by increasing local mental health respite service options for community members experiencing a mental health crisis in Sacramento County. The project seeks to: (1) create learning opportunities on how the project is developed and administered, (2) integrate community feedback into program development and implementation, and (3) expedite the release of funds of respite services to community organizations. The RPC Innovation Project is administered by the Sierra Health Foundation: The Center for Health Program Management (the Center).As part of the Innovation Project, an evaluation contract was awarded to American Institutes for Research (AIR) to evaluate the 5-year RPC Innovation Project. The main evaluation objectives are to assess the extent to which the RPC Innovation Project does the following:Promotes successful collaboration between public and private entities (i.e., DBHS and the Center) in Sacramento County.Demonstrates a community-driven process. Improves the quality and outcomes of respite services in Sacramento County.The purpose of this annual report is to present early findings from evaluation activities conducted from June 2013 through June 2014. Evaluation methods employed include interviews, surveys, and document review