College Ready at a Cost: Underrepresented Students Overwhelmed, Scared, Increasingly Stressed, and Coping

As the push and expectation to attend college continues to increase, making the process of getting into college more competitive than ever before, there is a need to interrogate whether and how efforts to create a college-going culture and increase college readiness among students, particularly those from historically marginalized backgrounds, might have an adverse impact on students. This study illuminates 59 students’ voices who participated in a multisite descriptive case study examining the strong college-going culture and college readiness efforts at three racially and economically diverse urban public high schools in different regions of Texas. Although students revealed positive aspects of their schools’ efforts, this study focuses on some of the negative, unintended consequences related to how students felt and coped with being overwhelmed, scared, and increasingly stressed as a result of the narrow focus on college readiness. Such findings must be considered by scholars, policymakers, and practitioners alike

The Cooperative Extension System\u27s Use of USDA\u27s Online Food and Physical Activity Tracker–SuperTracker

Nutrition professionals within the Cooperative Extension system use the USDA\u27s interactive online tool SuperTracker, which is designed to help individuals track diet and physical activity (PA) to apply healthy eating patterns and improve PA. An investigation of all 50 states\u27 Extension websites and interviews of Extension of educators revealed that SuperTracker information was posted at state or county level Extension websites. SuperTracker is being used for nutrition workshop, nutrition educators\u27 training, weight management, and PA planning and assessment in community based programs

Obscure Overt Gastrointestinal Bleeding Due To Isolated Small Bowel Angiomatosis

Isolated small bowel angiomatosis is a rare entity with a distinctive endoscopic appearance. A multidisciplinary approach is often required to diagnose and treat these complex lesions. We present 2 cases of isolated small bowel angiomatosis, and illustrate the endoscopic findings that may guide similar diagnoses

Helping Diminish the College Knowledge and Access Divide: Development of a College Outreach Camp to Serve Community Needs

This descriptive case study examined the development of a college outreach summer camp at a university in Texas. The camp aims to diminish the college knowledge and access divide that exists between first generation college-going, lower-income, and underrepresented students and their counterparts in the region in which the university is located. Drawing on one year of survey data, interviews with program personnel, program documents, and newspaper articles about the camp, this study highlights some of the camp’s early successes, as well as growing pains of starting such an effort to serve community needs

Health Behaviors and their Impact on Bariatric Surgery

Bariatric surgery is a long-term solution when dealing with obesity. The two most performed surgeries are sleeve gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB). Both surgeries required a long-term follow-up with the patients as well as drastic changes in their lifestyle due to the alterations in their digestive system. For that reason, it is important to track health-related behaviors to keep a record of the patient’s health. In addition to a drastic change in the patient’s life, some of the health-related behaviors such as nocturnal eating and binge eating can lead to poorer surgical outcomes such as less weight loss. For that reason, there needs to be standardization around pre-health assessments in the bariatric world. The purpose of this literature review is to analyze preoperative surgery assessments for health behaviors including binge eating disorder (BED), nocturnal eating syndrome (NES), and alcohol use disorder (AUD).https://digitalcommons.unmc.edu/surp2022/1035/thumbnail.jp

Community Profiles: An Evaluation and Planning Tool for Neighborhood Systems and Environmental Change Efforts

Purpose: Latinos in the US experience health disparities in obesity and related disease outcomes. There is national recognition that modifiable risk factors are influenced by the places that people work, live and play. Latinos are more likely to live in areas with limited access to affordable healthy food and recreational facilities. Design: This paper describes the development and use of neighborhood profiles as a tool for (1) assessing neighborhood built environments and (2) planning for neighborhood-based efforts focused on systems and environmental change. Our neighborhood profiles united four diverse data sources: secondary data, observational assessments, neighborhood connector interviews and resident surveys. Subjects: Twelve mostly urban, largely Latino neighborhoods of high economic disparity in Pima County, Arizona were included. Analysis: Secondary data was analyzed to describe sociodemographic characteristics of neighborhoods, while observational assessments were used to quantify and qualify aspects of the built environment. Neighborhood surveys and connector interviews were analyzed using frequency distributions and content analysis. Results: Neighborhoods varied in healthy food availability and physical activity infrastructure. Overall, residents indicated that community gardens and healthy food options in local stores are priorities. Conclusion: Neighborhood profiles demonstrated potential as an evaluation and community-planning tool to assist communities to create healthy environments

Freqüência de eosinofilia e fatores de risco e sua associação com infecção pela Toxocara em escolares, durante estudo epidemiológico no norte de Lima, Peru

During a health survey in a primary school from the district of Carabayllo (North of Lima, Peru), 200 schoolchildren (96 male and 104 female between five to 12 years old) were randomly selected and divided in two groups (as positive or negative group), according to the serologic result of the Toxocara ELISA test from a total population of 646 schoolchildren. All children were analyzed by hematologic tests to determinate the frequency of eosinophilia and leukocytosis. Additionally, all clinical and epidemiological data were also analyzed to determine their association with toxocariasis. From group of children with positive serology, 40% had some type of eosinophilia in contrast to 19% of children with negative serology, and their association was statistically significant (OR = 2.84, p < 0.001). From all signs and symptoms evaluated, only 'dry cough' was more frequent and statistically significant in the positive serology group (OR = 2.79, p < 0.001). Almost all risk factors evaluated were highly frequent and statistically associated to the positive serology. In conclusion, the presence of eosinophilia and the risk factors evaluated in this population were frequently associated to human toxocariasis.Durante estudo epidemiológico em escola primária do Distrito de Carabayllo (norte de Lima, Peru), 200 crianças (96 do sexo masculino e 104 do feminino, entre cinco e 12 anos de idade) foram selecionadas ao acaso e divididas em dois grupos (grupo positivo e grupo negativo) de acordo com os resultados de teste de ELISA para Toxocara em população total de 646 escolares. Todas as crianças foram analisadas por testes hematológicos para determinar a freqüência de eosinofilia e leucocitose. Adicionalmente, os dados clínicos e epidemiológicos foram analisados para determinar associação com toxocaríase. No grupo de crianças com sorologia positiva 40% tinham eosinofilia em contraste com 19% de crianças com sorologia negativa e esta associação foi estatisticamente.significante (OR = 2,84, p < 0,001). De todos os sinais e sintomas avaliados, somente tosse seca foi mais freqüente e estatisticamente significante no grupo de sorologia positiva (OR = 2,79, p < 0,001). Quase todos os fatores de risco avaliados foram de alta freqüência e estatisticamente associados à sorologia positiva. Em conclusão, a presença de eosinofilia e dos fatores de risco avaliados nesta população foram frequentemente associados à toxocaríase humana

Proximity of Residence to Bodies of Water and Risk for West Nile Virus Infection: A Case-Control Study in Houston, Texas

West Nile virus (WNV), a mosquito-borne virus, has clinically affected hundreds of residents in the Houston metropolitan area since its introduction in 2002. This study aimed to determine if living within close proximity to a water source increases one's odds of infection with WNV. We identified 356 eligible WNV-positive cases and 356 controls using a population proportionate to size model with US Census Bureau data. We found that living near slow moving water sources was statistically associated with increased odds for human infection, while living near moderate moving water systems was associated with decreased odds for human infection. Living near bayous lined with vegetation as opposed to concrete also showed increased risk of infection. The habitats of slow moving and vegetation lined water sources appear to favor the mosquito-human transmission cycle. These methods can be used by resource-limited health entities to identify high-risk areas for arboviral disease surveillance and efficient mosquito management initiatives

Primary cutaneous aggressive epidermotropic cytotoxic T-cell lymphomas: reappraisal of a provisional entity in the 2016 WHO classification of cutaneous lymphomas.

Primary cutaneous CD8-positive aggressive epidermotropic T-cell lymphoma is a rare and poorly characterized variant of cutaneous lymphoma still considered a provisional entity in the latest 2016 World Health Organization Classification of Cutaneous lymphomas. We sought to better characterize and provide diagnostic and therapeutic guidance of this rare cutaneous lymphoma. Thirty-four patients with a median age of 77 years (range 19-89 years) presented primarily with extensive annular necrotic plaques or tumor lesions with frequent mucous membrane involvement. The 5-year survival was 32% with a median survival of 12 months. A subset of 17 patients had a prodrome of chronic patches prior to the development of aggressive ulcerative lesions. We identified cases with lack of CD8 or αβ T-cell receptor expression yet with similar clinical and pathological presentation. Allogeneic stem cell transplantation provided partial or complete remissions in 5/6 patients. We recommend the term primary cutaneous aggressive epidermotropic cytotoxic T-cell lymphoma as this more broad designation better describes this clinical-pathologic presentation, which allows the inclusion of cases with CD8 negative and/or αβ/γδ T-cell receptor chain double-positive or double-negative expression. We have identified early skin signs of chronic patch/plaque lesions that are often misdiagnosed as eczema, psoriasis, or mycosis fungoides. Our experience confirms the poor prognosis of this entity and highlights the inefficacy of our standard therapies with the exception of allogeneic stem cell transplantation in selected cases