There's Something Happening Here: A Look at The California Endowment's Building Healthy Communities Initiative

In 2011, TCE commissioned PERE to help capture some of the dynamism happening in each of the sites as they were pivoting from the initial planning phase, which started in 2009, to early implementation.Our focus was on the over-arching story of BHC rather than on the narrative of each site, which would have required many more interviews, many more site visits, and many, many more pages to convey. And while we touch on some of the interactions between BHC and the communications and policy work done under the statewide umbrella of Health Happens Here, our emphasis in this report is on BHC and the sites themselves.Through the course of this research, we have become increasingly convinced that TCE is indeed onto something -- if not big, at least important. In order to clarify exactly what it is, we use a simplifying three-part storyline linked together by an overarching concept of Just Health

Understanding and Treating Shame: The Role of the Clinician

Shame is a powerful emotion and experience that impacts how individuals interpret a situation, and often their behavior. It correlates with a number of mental health conditions that are commonly treated by psychotherapists, and yet the explicit or implicit treatment of shame directly or simultaneous to the disorder is less common. A qualitative exploratory study was conducted in an attempt to gather insight regarding the conceptualization, observation, and treatment of shame in the context of psychotherapy by both generalists and specialists (those with and without explicit training in relation to shame and its treatment). Themes that emerged from the data included: the difference between guilt and shame, observations of shame, and the treatment of shame. Social workers can utilize this information to gain a better understanding of the importance of recognizing, understanding, and naming shame in a clinical context and to have more skills in addressing it with clients

Surveillance and monitoring of amphibian pathogens and evaluating the impacts of an associated Course-based Undergraduate Research Experience (CURE)

Amphibians are a highly diverse class of vertebrates and crucial for natural ecosystems, inhabiting both aquatic and terrestrial environments at different life stages. However, amphibians are facing devastating declines largely due to the disease chytridiomycosis, caused by the fungal pathogens Batrachochytrium dendrobatidis (Bd) and Batrachochytrium salamandrivorans (Bsal). This disease can lead to population declines, biodiversity loss, and species extinction. However, resources to study and mitigate this disease are limited and an opportunity to assist in these efforts has been created in the form of a course-based undergraduate research experience (CURE). Chapter 1 of my thesis used Roger\u27s Diffusion of Innovations framework to evaluate cognitive and affective outcomes in a CURE taught by early adopters across nine North American academic institutions. Chapter 2 of my thesis focused on amphibian pathogen dynamics in eastern Washington. The North American Bsal Task Force’s Surveillance and Monitoring Working Group developed the Student Network for Amphibian Pathogen Surveillance (SNAPS), which is a CURE focused on surveillance and monitoring for the fungal pathogens Bd and Bsal. Cognitive outcomes, or knowledge acquisition, information processing, and reasoning, as well as affective outcomes, such as a belief, system, emotions, and attitudes towards science, were measured. Results from pre- and post-surveys showed that the CURE effectively improved students\u27 selfefficacy towards environmental interests (t (68) = 2.0629, p = 0.04295), content knowledge (t (68) = 11.119, p \u3c 0.001), knowledge of field sampling methods (t (68) = 4.3232, p \u3c 0.001), self-reported content knowledge (t (69) = 11.207, p \u3c 0.001), and self-reported sampling methods (t (68) = 16.092, p \u3c 0.001). Students’ enjoyment of nature and career interest in STEM did not improve from students’ pre- and post-surveys. Across institutions, all objectives analyzed iv were consistent except one: self-reported sampling methods (F (4) = 3.269, p = 0.017). This suggests that the implementation of the SNAPS CURE across multiple universities yields consistent outcomes across 6 out of the 7 objectives measured, regardless of the teaching implementation and location. Changes in students\u27 content knowledge varied based on demographics and class standing, while all other outcomes were consistent showing the SNAPS CURE provides a generally equitable educational experience. Continued research to ensure the equitability across all institutions needs to continue. Positive outcomes that are mostly consistent can encourage faculty to adopt this instructional approach. Chapter 2 of my thesis focused on amphibian pathogen dynamics in Pacific Chorus Frogs (Pseudacris regilla, PSRE) and Columbia Spotted Frogs (Rana luteiventris, RALU), and the correlation with abiotic factors at Turnbull National Wildlife Refuge (TNWR) in Cheney, WA over a four-year period. Using regression and mixed effects models, I analyzed the relationship between sampling date, amphibian species, wetland site, and abiotic factors with the prevalence and intensity of Bd (i.e., Bd zoospore load). The intensity of Bd varied over time for PRSE (overall effect of species on Bd over time: F (3,175) = 126.7, p \u3c 0.001, R2 = 0.656; PSRE: t = - 13.769, p\u3c 0.001), but was consistent over time for the RALU (t = -0.548, p = 0.584). Bd intensity varied across wetlands (F (19,181) = 23.95, p\u3c 0.001, R2 = 0.685) and was influenced by two abiotic factors, pH (t = 10.098, p \u3c 0.001) and water temperature (t = -3.361, p \u3c 0.001), while conductivity and dissolved oxygen did not influence Bd infection. Sampling during hotter days resulted in lower zoospore loads, which is consistent with Bd’s known optimal temperature range. Bd prevalence, or the proportion of infected frogs, over time was higher for RALU (69%) than for PSRE (43%) (F (3,195) = 18.817, p \u3c 0.001, R2 = 0.656), although this pattern varied year to year. In addition, Bd prevalence varied with sampling timepoint, with the highest v prevalence occurring during breeding season, February- June (χ2 (16, 176) = 1114.07, p \u3c 0.001). TNWR exhibited variable Bd prevalence for both amphibians across wetland sites (χ2 (16, 176) = 1114.07, p \u3c 0.001). The prevalence of Bd at TNWR over time was influenced by pH: (χ2 (1) = 70.376, p \u3c 0.001) but not water temperature which did influenced Bd intensity. Additionally, there was no Bsal found at TNWR from 2019-2022. In conclusion, Bd infection dynamics are highly variable at TNWR, thus further temporal and spatial studies are needed to comprehensively understand amphibian populations and their diseases

Understanding and Treating Shame: The Role of the Clinician

Shame is a powerful emotion and experience that impacts how individuals interpret a situation, and often their behavior. It correlates with a number of mental health conditions that are commonly treated by psychotherapists, and yet the explicit or implicit treatment of shame directly or simultaneous to the disorder is less common. A qualitative exploratory study was conducted in an attempt to gather insight regarding the conceptualization, observation, and treatment of shame in the context of psychotherapy by both generalists and specialists (those with and without explicit training in relation to shame and its treatment). Themes that emerged from the data included: the difference between guilt and shame, observations of shame, and the treatment of shame. Social workers can utilize this information to gain a better understanding of the importance of recognizing, understanding, and naming shame in a clinical context and to have more skills in addressing it with clients

Role of Galaxy Mergers in Cosmic Star Formation History

We present a morphology study of intermediate-redshift (0.2<z<1.2) luminous infrared galaxies (LIRGs) and general field galaxies in the GOODS fields using a revised asymmetry measurement method optimized for deep fields. By taking careful account of the importance of the underlying sky-background structures, our new method does not suffer from systematic bias and offers small uncertainties. By redshifting local LIRGs and low-redshift GOODS galaxies to different higher redshifts, we have found that the redshift dependence of the galaxy asymmetry due to surface-brightness dimming is a function of the asymmetry itself, with larger corrections for more asymmetric objects. By applying redshift-, IR-luminosity- and optical-brightness-dependent asymmetry corrections, we have found that intermediate-redshift LIRGs generally show highly asymmetric morphologies, with implied merger fractions ~50% up to z=1.2, although they are slightly more symmetric than local LIRGs. For general field galaxies, we find an almost constant relatively high merger fraction (20-30%). The B-band LFs of galaxy mergers are derived at different redshifts up to z=1.2 and confirm the weak evolution of the merger fraction after breaking the luminosity-density degeneracy. The IR luminosity functions (LFs) of galaxy mergers are also derived, indicating a larger merger fraction at higher IR luminosity. The integral of the merger IR LFs indicates a dramatic evolution of the merger-induced IR energy density [(1+z)^(5-6)}], and that galaxy mergers start to dominate the cosmic IR energy density at z>~1.Comment: Accepted for publication in ApJ, 25 pages, 23 figures (2 colors). The high-resolution pdf is at http://cztsy.as.arizona.edu/~yong/Research/SHI_MERGER.pd

Changing Minds, Changing Lives: Increasing Resilience in Undergraduate Nursing Students Through the Implementation of a Resilience Educational Intervention Program

Background: Nursing students suffer from high levels of stress and psychological distress, especially those with histories of childhood adversity. The COVID-19 pandemic has been an additional source of stress on students. Students who suffer from psychological distress are at greater risk of engaging in maladaptive behaviors that may lead to physical and psychological conditions. Despite this data, college campuses lack resilience intervention programs, which have been shown to reduce psychological distress, perceived stress, and increase resilience. Purpose: The purpose of this Quality Improvement project was to implement a well-established evidence-based resilience program for nursing students, and to evaluate the feasibility and acceptability of the program. Methods: A 10-week in-person resilience program was implemented with 6 undergraduate nursing students. The program included active coping exercises, psychoeducational presentations, writing, and peer support. A post-survey was used to assess the feasibility and acceptability of the program. Results: Six undergraduate nursing students completed the resilience program. After completing the program, one hundred percent of the students thought that their ability to use coping skills, use personal strengths, feel belonged, and supported increased significantly. Participants also described an increased ability to recognize their emotions, and healthily manage stress. One hundred percent indicated that they would recommend this program to incoming nursing students. Conclusion: The results of this QI project support the effectiveness, acceptability, and feasibility of the educational resilience program. Keywords: resilience intervention program, psychological distress, stress, nursing students, COVID-1

Supermarkets, Farm Assets, and Technology Choices: a Duration Analysis of Horticultural Growers in Nicaragua

Supermarkets, Nicaragua, Horticulture, Small Farmers, Agribusiness, Community/Rural/Urban Development, International Development,

Identifying Interaction Variations that Affect the Effectiveness of Communication

This workshop will ask participants to identify the interaction process between pilots, and pilots and controllers, with consideration as to how these interactions can lead to an accident. To help participants be aware of these interaction variations that affect performance when facing a complex task, they will be invited to play a game that recreates cognitive, affective and conative aspects of communication, the main categories of the interaction process. The ultimate goal is to link these categories with the communicative approach as a teaching method

Identifying Interaction Variations that Affect the Effectiveness of Communication

This workshop will ask participants to identify the interaction process between pilots, and pilots and controllers, with consideration as to how these interactions can lead to an accident. To help participants be aware of these interaction variations that affect performance when facing a complex task, they will be invited to play a game that recreates cognitive, affective and conative aspects of communication, the main categories of the interaction process. The ultimate goal is to link these categories with the communicative approach as a teaching method

Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation.

PurposeTo report two cases of neurotrophic keratitis (NK) after micropulse transscleral cyclophotocoagulation (MP-TCP).ObservationsTwo patients with predisposing factors for decreased corneal sensation developed NK 1 month after MP-TCP. Both patients did not heal with initial treatment with topical antibiotic and preservative free artificial tears. One patient required use of a bandage contact lens and the other patient required tarsorrhaphy. Both eyes experienced recurrence of NK.Conclusions and importanceNK can be triggered after MP-TCP in patients with underlying predisposing factors for decreased corneal sensation. This uncommon but vision-threatening complication should be discussed preoperatively with high-risk patients as a possible adverse event after MP-TCP and followed closely postoperatively