Cuing Disparities: The Consequences of Race-Based Social Stressors for Academic Achievement

Underrepresented racially and ethnically minoritized (URM) students contend with individual-level race-based stressors in college, like racialized discrimination and microaggressions. In this study, we consider whether URM students\u27 perceptions of racial inequity on campus—a context-level race-based stressor—trigger adverse psychological and physical stress responses that, in turn, undermine academic achievement. Using a sample of 781 science, technology, engineering and math (STEM) students, we found in a longitudinal study that URM students report perceiving more inequality on campus compared with White and Asian students. Greater perceived inequality was, in turn, associated with increased psychological and physical stress responses, which, in some cases, predicted lower grades. Promoting more equitable college environments, therefore, may help attenuate inequalities in stress responses, ultimately, enhancing academic achievement. Please refer to the Supplementary Material section to find this article\u27s Community and Social Impact Statement

In the Shadow of the Tower: The View of the Undergraduate Experience

This paper reports the initial findings of a survey (N=388) conducted in Winter 1991 focusing on the quality of the academic experience for Arts and Science students at a medium size post-secondary institution in eastern Canada. Our purposes are: 1) to set out the context in which undergraduates conduct their academic work, 2) to document what their experience entails, and 3) to present some of their perceptions of the higher education process. While most students have vocational goals in mind, they are also keenly interested in acquiring a solid general education. Undergraduates attend most of their classes, are heavily committed to completing their programs, and work quite diligently in pursuit of their goals in the face of what many of them consider to be heavy workloads. They are not, however, completely satisfied with the services that they receive in return for their tuition fees and for Canadians' tax dollars. While satisfaction levels vary with the type of services provided, it is clear that there does exist substantial room in which institutions can make improvements. Specifically, our data suggest that the primary goals of universities seeking to better the undergraduate experience should be to encourage more effective teaching and its evaluation, to reduce class sizes, to increase formal and informal interaction among faculty members and students, to improve the quality of academic advising, and to support the creation of more equitable financial assistance programs for students.Cet article présente les premiers résultats d'une enquête (N=388) menée durant l'hiver 1991 portant sur la qualité de l'expérience universitaire d'étudiants en arts et en sciences inscrits à une institution de moyenne importance dans l'est du Canada. Nos intentions sont: 1) d'établir le contexte dans lequel les étudiants accomplissent leur travail scolaire, 2) de documenter en quoi consiste cette expérience et 3) de décrire quelques-unes de leurs impressions sur le système d'éducation supérieure. Bien que la plupart des étudiants poursuivent des buts professionnels, ils s'intéressent aussi vivement à acquérir une éducation générale à bases solides. Les étudiants de premier cycle assistent à la plupart de leurs cours, se sont voués à compléter leurs études, et travaillent diligemment afin de réaliser leurs buts malgré ce que beaucoup d'entre eux estiment être des programmes exigeants. Toutefois, ils ne sont pas entièrement satisfaits des services qu'ils reçoivent en échange de leurs frais de scolarité et des impôts prélevés aux Canadiens. Alors que le degré de satisfaction varie selon les services offerts, il est clair que des améliorations s'imposent dans plusieurs domaines. Plus précisément, nos donnés suggèrent que les universités cherchant à améliorer l'expérience des étudiants au niveau du premier cycle devraient se proposer comme buts prioritaires d'encourager un enseignement plus efficace et de mieux l'évaluer, de réduire la taille des classes, de favoriser l'interaction formelle et informelle entre les professeurs et les étudiants, d'améliorer la qualité des services d'orientation scolaire, et de promouvoir la création de programmes d'aide financière plus équitable pour les étudiants

Mesenchymal chondroprogenitor cell origin and therapeutic potential

Mesenchymal progenitor cells, a multipotent adult stem cell population, have the ability to differentiate into cells of connective tissue lineages, including fat, cartilage, bone and muscle, and therefore generate a great deal of interest for their potential use in regenerative medicine. During development, endochondral bone is formed from a template of cartilage that transforms into bone; however, mature articular cartilage remains in the articulating joints, where its principal role is reducing friction and dispersing mechanical load. Articular cartilage is prone to damage from sports injuries or ageing, which regularly progresses to more serious joint disorders, such as osteoarthritis. Osteoarthritis is a degenerative joint disease characterized by the thinning and eventual wearing of articular cartilage, and affects millions of people worldwide. Due to low chondrocyte motility and proliferative rates, and complicated by the absence of blood vessels, cartilage has a limited ability to self-repair. Current pharmaceutical and surgical interventions fail to generate repair tissue with the mechanical and cellular properties of native host cartilage. The long-term success of cartilage repair will therefore depend on regenerative methodologies resulting in the restoration of articular cartilage that closely duplicates the native tissue. For cell-based therapies, the optimal cell source must be readily accessible with easily isolated, abundant cells capable of collagen type II and sulfated proteoglycan production in appropriate proportions. Although a cell source with these therapeutic properties remains elusive, mesenchymal chondroprogenitors retain their expansion capacity with the promise of reproducing the structural or biomechanical properties of healthy articular cartilage. As current knowledge regarding chondroprogenitors is relatively limited, this review will focus on their origin and therapeutic application

The evolution and integration of a patient-centric mapping tool (patient journey value mapping) in continuous quality improvement

The need to improve a healthcare system that too frequently fails to deliver benefits of care, even resulting in harm to patients, has been well established. The resulting era of quality improvement has aimed to improve the delivery of care by increasing quality while reducing cost. One approach to improving how healthcare is delivered is the application of Lean management strategies. Despite widespread investment in Lean approaches to improve healthcare delivery, evidence supports a deficiency of this approach to improve patient satisfaction with care. Identifiable operational tension between quality improvement efforts designed to streamline care processes and those targeting improvement of the patient care experience existed. We set out to address this deficiency by embedding the patient experience into improvement efforts through the introduction of a patient-centric value stream mapping approach

Transforming care through bedside leader rounding: Use of handheld technology leads to improvement in perceived patient satisfaction

When consistently executed, leader rounding has the ability to capture actionable information ensuring delivery of safe and effective patient care, identifying excellence among staff, and bringing opportunities for improvement. Our team set out to create an effective, standardized approach to targeted, daily, technology-driven leader rounding with the goal of integrating real-time patient feedback into the care experience. An application on handheld computer tablets was tailored and integrated with the hospital’s admission, discharge, and transfer (ADT) feed, allowing for streamlining of the rounding process by creation of workflow templates. Additionally, capabilities to receive and send alerts across disciplines were integrated in order to respond to patient concerns in real-time. Patients who perceived they were rounded on had 3.53 greater odds of reporting top box scores for Overall Rating of Care compared to patients who perceived they were not rounded on (p\u3c0.001). Patients with documentation that rounding occurred, who also self-reported that rounding occurred, were at 3.43 greater odds of providing a top-box score than patients with documentation that rounding occurred but who did not perceive they were rounded on (p\u3c0.001). Efforts to round and to ensure patients know they are being rounded on may lead to improved patient experience

Men's information-seeking behavior regarding cancer risk and screening: A meta-narrative systematic review

Objective: Preventive strategies are known to reduce cancer risk and incidence and improve prognosis. Men seldom seek medical information about cancer prevention and risk reduction. The aim of this meta-narrative systematic review was to critically appraise evidence from qualitative, quantitative, and mixed-methods studies that explored men's information-seeking behaviors in relation to cancer prevention and risk reduction. Methods: MEDLINE, CINAHL Plus with Full Text, PsycINFO, PsycARTICLES, Psychology and Behavioral Sciences Collection, Education Full Text, and ERIC were systematically searched for studies published in English between January 1, 2006 and May 30, 2016. A total of 4117 titles were identified; of which, 31 studies were included (21 qualitative studies, 9 quantitative studies, and 1 mixed-methods study). The methodological quality of the studies was appraised by using different tools. Results: Most studies focused on screening for prostate (n = 18) and colorectal cancer (n = 7). Most men were passive information-gatherers rather than active information-seekers. Key sources of information included the Internet for active information-seekers and health care professionals for passive information-gatherers. Barriers to information-seeking included information overload, embarrassment, and fear. Low literacy and health literacy levels were addressed in 3 studies and were identified as impediments to active information-seeking. Facilitators to information-seeking included family support, media, celebrity endorsements, and targeted information. Conclusions: Men's information-seeking behavior regarding cancer risk reduction, prevention, and screening is influenced by several factors. This necessitates targeted interventions aimed at raising awareness of cancer prevention and screening, while accounting for men's informational needs, preferred learning strategies, and literacy levels

Evaluation of In Vitro Virulence Characteristics of the Genus Pandoraea in Lung Epithelial Cells

Pandoraea species are emerging opportunistic pathogens capable of causing chronic lung infections in cystic fibrosis patients. This study examined the interactions of 17 Pandoraea isolates from the five identified species (Pandoraea apista, Pandoraea norimbergensis, Pandoraea pulmonicula, Pandoraea sputorum and Pandoraea pnomenusa) plus two Pandoraea genomospecies isolates with lung epithelial cells and their ability to form biofilms in vitro. Only three isolates showed an ability to invade A549 lung epithelial cells, and only one isolate was able to form biofilms. In contrast, all isolates triggered a pronounced pro-inflammatory response, with elevation of both interleukin (IL)-6 (two- to 19-fold) and IL-8 (10- to 50-fold) above that observed for a control strain of Escherichia coli. This property is likely to be a major factor in the pathogenesis of the genus