The Relevance of Mordecai Wyatt Johnson

Editor\u27s note: The following was excerpted from the inaugural lecture in honor of the late Dr. Mordecai Wyatt Johnson. Dr. Johnson, who died in 1976 at the age of 86, was the president of Howard University from 1926 to 1960. The annual lecture series in his honor was inaugurated on January 27, 1978 with an address by Dr. Benjamin E. Mays, president emeritus of Morehouse College and a friend of Dr. Johnson\u27s

Creating the environment for In The Blood .

From the moment the audience enters the auditorium the play is a mystery. They are looking for clues as to the nature of the story in which they are about to participate. The designer\u27s job is to select what these clues are. How does the designer decide what the audience will see or won\u27t see? The audience sees only the final product which is a culmination of the process of creation. It is this process that is important and will lead to the creation of a successful theatrical environment, one which goes beyond the 4th wall to create a living, organic, and deeply personal connection with the audience. My goals for IN THE BLOOD: (1) Take complete charge of design elements early on in the process (make up my mind sooner and have confidence in myself; (2) Pay attention to the minute detail; (3) Have a strong vision for the design and don\u27t shy away from that vision while still being open for compromise; (4) Initiate communication early on with the director; (5) Complete all designs by the required deadlines; (6) Document the process. The product is important but it is the process where the knowledge is to be gleaned

The Eulogy

Eulogy for Mordecai W. Johnson by Benjamin E. Mays, President Emeritus of Morehouse Colleg

Papers Read At a Session of the Twenty-First Annual Meeting of the Southern Historical Association, Memphis Tennessee. November 10,1955

MS/134 Civil Rights Papers. Segregation, Jim Crow, 1950s, US South, Southern States, American South Scanned from original prints. Processed by Dallas Suttles ([email protected]) on 6/21/2016. 600 DPI. OCR Abbyy FineReader 11.0. Pages cropped to size.Three Views of the Segregation Decisions Papers Read At a Session of the Twenty-First Annual Meeting of the Southern Historical Association, Memphis Tennessee. November 10,1955 by William Faulkner, Benjamin Mays, Cecil Sims. Introduction by Bell Wiley. Significant because of essay by Faulkner, but Benjamin Mays is often called the spiritual mentor of Martin Luther King, Jr. Important document showing how prominent Southerners viewed early Court decisions concerning desegregation and how they viewed the future

Low-intensity microwave irradiation does not substantially alter gene expression in late larval and adult Caenorhabditis elegans.

Reports that low-intensity microwave radiation induces heat-shock reporter gene expression in the nematode, Caenorhabditis elegans, have recently been reinterpreted as a subtle thermal effect caused by slight heating. This study used a microwave exposure system (1.0 GHz, 0.5 W power input; SAR 0.9-3 mW kg-1 for 6-well plates) that minimises temperature differentials between sham and exposed conditions (≤0.1 °C). Parallel measurement and simulation studies of SAR distribution within this exposure system are presented. We compared 5 Affymetrix gene-arrays of pooled triplicate RNA populations from sham-exposed L4/adult worms against 5 gene-arrays of pooled RNA from microwave-exposed worms (taken from the same source population in each run). No genes showed consistent expression changes across all 5 comparisons, and all expression changes appeared modest after normalisation (≤ 40% up- or down-regulated). The number of statistically significant differences in gene expression (846) was less than the false-positive rate expected by chance (1131). We conclude that the pattern of gene expression in L4/adult C. elegans is substantially unaffected by low-intensity microwave radiation; the minor changes observed in this study could well be false positives. As a positive control, we compared RNA samples from N2 worms subjected to a mild heat-shock treatment (30ºC) against controls at 26 ºC (2 gene arrays per condition). As expected, heat-shock genes are strongly up-regulated at 30ºC, particularly an hsp-70 family member (C12C8.1) and hsp-16.2 . Under these heat-shock conditions, we confirmed that an hsp-16.2::GFP transgene was strongly up-regulated, whereas two non-heat-inducible transgenes (daf-16::GFP; cyp-34A9::GFP) showed little change in expression

Evaluation of the implementation and health-related impacts of the Cold Weather Plan for England 2012

There was a gradual increase in cold-related mortality and emergency admissions after temperatures had dropped below relatively moderate thresholds (from 4°C in East England to 8°C in the South West). There was a 3.8% increase in deaths for every 1°C drop in temperature. • While the adverse effects of winter weather are widespread among the population, different groups are vulnerable according to the type of winter weather conditions being experienced. While older people are the most susceptible to low temperatures, they appear to be less vulnerable during periods of heavy snowfall compared with people of working age who had the highest relative increase in A&E visits. The Cold Weather Alerts should make a distinction between these different types of weather conditions, and target advice accordingly. • Days of extreme cold temperature were only responsible for a small portion of all excess winter deaths because of the relative infrequency of very cold days. This suggests that more emphasis could be given to the lower Cold Weather Alert levels 0 and 1 in order to have a greater impact on reducing the health-related burden of cold weather. • The adverse effects of cold weather may not be immediately apparent and may be delayed by several days or weeks following initial exposure, so short-term forecasts may be less important than the level of care provided by health services over a longer period after a cold spell. • Health and social care managers were positive about the CWP and the alert service, and felt the CWP prompted providers to be more proactive in their response to cold weather and to encourage better joint working across agencies. However, there was a general view that implementation would be more effective if it was led by public health managers rather than emergency planners. • Among frontline staff, there was much greater awareness of the CWP among nurses working in community health services than among those working in primary care. It was also more difficult to engage primary care staff in recognising the health risks of cold weather and taking appropriate action. • Both managers and frontline staff recognised the difficulties of identifying potentially at-risk individuals who were not already in contact with adult social services, suggesting that other ways of identifying such people need to be developed. • Interviews with people who were vulnerable to the effects of cold weather showed that they listened to weather forecasts and developed their own strategies for keeping warm. But none of them received any help or advice specifically related to cold weather from primary or community caregivers, suggesting that many at-risk individuals are missed by the CWP. Resources should be targeted at those who live in cold homes who are socially isolated. • Mathematical modelling showed that the CWP is cost-effective under some scenarios at the high end of the willingness to pay threshold used by NICE, but this estimate is sensitive to the extent of implementation of the CWP at local level. Using sensitivity analysis it is shown that the incremental cost-effectiveness ratio varies from £29,754 to £75,875 per Quality Adjusted Life Year (QALY) gaine

2022 Update of the Consensus on the Rational Use of Antithrombotics and Thrombolytics in Veterinary Critical Care (CURATIVE) Domain 6: Defining rational use of thrombolytics

Objectives: To systematically review available evidence and establish guidelines related to the use of thrombolytics for the management of small animals with suspected or confirmed thrombosis. Design: PICO (Population, Intervention, Control, and Outcome) questions were formulated, and worksheets completed as part of a standardized and systematic literature evaluation. The population of interest included dogs and cats (considered separately) and arterial and venous thrombosis. The interventions assessed were the use of thrombolytics, compared to no thrombolytics, with or without anticoagulants or antiplatelet agents. Specific protocols for recombinant tissue plasminogen activator were also evaluated. Outcomes assessed included efficacy and safety. Relevant articles were categorized according to level of evidence, quality, and as to whether they supported, were neutral to, or opposed the PICO questions. Conclusions from the PICO worksheets were used to draft guidelines, which were subsequently refined via Delphi surveys undertaken by the Consensus on the Rational Use of Antithrombotics and Thrombolytics in Veterinary Critical Care (CURATIVE) working group. Results: Fourteen PICO questions were developed, generating 14 guidelines. The majority of the literature addressing the PICO questions in dogs is experimental studies (level of evidence 3), thus providing insufficient evidence to determine if thrombolysis improves patient-centered outcomes. In cats, literature was more limited and often neutral to the PICO questions, precluding strong evidence-based recommendations for thrombolytic use. Rather, for both species, suggestions are made regarding considerations for when thrombolytic drugs may be considered, the combination of thrombolytics with anticoagulant or antiplatelet drugs, and the choice of thrombolytic agent. Conclusions: Substantial additional research is needed to address the role of thrombolytics for the treatment of arterial and venous thrombosis in dogs and cats. Clinical trials with patient-centered outcomes will be most valuable for addressing knowledge gaps in the field

Systems Thinking as a Framework for Analyzing Commercial Determinants of Health.

Policy Points: Worldwide, more than 70% of all deaths are attributable to noncommunicable diseases (NCDs), nearly half of which are premature and apply to individuals of working age. Although such deaths are largely preventable, effective solutions continue to elude the public health community. One reason is the considerable influence of the "commercial determinants of health": NCDs are the product of a system that includes powerful corporate actors, who are often involved in public health policymaking. This article shows how a complex systems perspective may be used to analyze the commercial determinants of NCDs, and it explains how this can help with (1) conceptualizing the problem of NCDs and (2) developing effective policy interventions. CONTEXT: The high burden of noncommunicable diseases (NCDs) is politically salient and eminently preventable. However, effective solutions largely continue to elude the public health community. Two pressing issues heighten this challenge: the first is the public health community's narrow approach to addressing NCDs, and the second is the involvement of corporate actors in policymaking. While NCDs are often conceptualized in terms of individual-level risk factors, we argue that they should be reframed as products of a complex system. This article explores the value of a systems approach to understanding NCDs as an emergent property of a complex system, with a focus on commercial actors. METHODS: Drawing on Donella Meadows's systems thinking framework, this article examines how a systems perspective may be used to analyze the commercial determinants of NCDs and, specifically, how unhealthy commodity industries influence public health policy. FINDINGS: Unhealthy commodity industries actively design and shape the NCD policy system, intervene at different levels of the system to gain agency over policy and politics, and legitimize their presence in public health policy decisions. CONCLUSIONS: It should be possible to apply the principles of systems thinking to other complex public health issues, not just NCDs. Such an approach should be tested and refined for other complex public health challenges

Extent and patterns of community collaboration in local health departments: An exploratory survey

<p>Abstract</p> <p>Background</p> <p>Local public health departments (LHDs) in the United States have been encouraged to collaborate with various other community organizations and individuals. Current research suggests that many forms of active partnering are ongoing, and there are numerous examples of LHD collaboration with a specific organization for a specific purpose or program. However, no existing research has attempted to characterize collaboration, for the defined purpose of setting community health status priorities, between a defined population of local officials and a defined group of alternative partnering organizations. The specific aims of this study were to 1) determine the range of collaborative involvement exhibited by a study population of local public health officials, and, 2) characterize the patterns of the selection of organizations/individuals involved with LHDs in the process of setting community health status priorities.</p> <p>Methods</p> <p>Local health department officials in North Carolina (n = 53) responded to an exploratory survey about their levels of involvement with eight types of possible collaborator organizations and individuals. Descriptive statistics and the stochastic clustering technique of Self-Organizing Maps (SOM) were used to characterize their collaboration.</p> <p>Results</p> <p>Local health officials vary extensively in their level of collaboration with external collaborators. While the range of total involvement varies, the patterns of involvement for this specific function are relatively uniform. That is, regardless of the total level of involvement (low, medium or high), officials maintain similar hierarchical preference rankings with Community Advisory Boards and Local Boards of Health most involved and Experts and Elected Officials least involved.</p> <p>Conclusion</p> <p>The extent and patterns of collaboration among LHDs with other community stakeholders for a specific function can be described and ultimately related to outcome measures of LHD performance.</p